Nokea
Which response by the nurse is most appropriate when the mother, concerned about her unborn daughter developing DMD, states that her brother and son have DMD?
- A. "You already have one child with muscular dystrophy; it's unlikely you'll have another."
- B. "Your brother and son have DMD; it's unlikely that you'll have another child with DMD."
- C. "As many as one-third of children born with DMD have no family history of the disease."
- D. "If your unborn child is a girl, she may carry the gene, but she will not develop DMD."
Correct Answer: D
Rationale: DMD is X-linked; females may be carriers but do not develop the disease.
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The occupational health nurse is preparing an in-service for a group of workers in a warehouse. Which information should be included to help prevent on-the-job injuries?
- A. Increase sodium and potassium in the diet during the winter months.
- B. Use the large thigh muscles when lifting and hold the weight near the body.
- C. Use soft-cushioned chairs when performing desk duties.
- D. Have the employee arrange for assistance with household chores.
Correct Answer: B
Rationale: Using thigh muscles and keeping weight close to the body promotes proper lifting mechanics, reducing back strain. Diet, chair cushioning, and household chores are unrelated to workplace injury prevention.
Which assessment finding would the nurse consider a likely adverse effect of the client's methotrexate therapy?
- A. Constipation
- B. Dry mouth
- C. Mouth sores
- D. Chest pain
Correct Answer: C
Rationale: Mouth sores are a common side effect of methotrexate due to its effect on mucosal cells.
Which level of participation should the nurse expect when assessing a 9-year-old who has mental retardation with an IQ level of 45?
- A. Able to communicate verbally only with two-letter words
- B. Able to read and comprehend simple written instructions
- C. Able to walk independently and perform a simple skill
- D. Able to perform tasks that require careful manual dexterity
Correct Answer: C
Rationale: An IQ of 45 indicates moderate intellectual disability, allowing independent walking and simple tasks.
The nurse is caring for a client diagnosed with a fracture of the right distal humerus. Which data indicate a complication? Select all that apply.
- A. Numbness and mottled cyanosis.
- B. Paresthesia and paralysis.
- C. Proximal pulses and point tenderness.
- D. Coldness of the extremity and crepitus.
- E. Palpable radial pulse and functional movement.
Correct Answer: A,B,D
Rationale: Numbness, cyanosis, paresthesia, paralysis, coldness, and crepitus indicate compartment syndrome or neurovascular compromise, serious fracture complications. Pulses and tenderness are expected.
The HCP is adducting the newborn's hip while pushing the thigh forward to detect developmental dysplasia of the hip (DDH). The nurse should identify this screening test as which maneuver?
- A. Barlow maneuver
- B. Pavlik maneuver
- C. Gowers maneuver
- D. Allis maneuver
Correct Answer: A
Rationale: The Barlow maneuver involves adducting the hip and pushing the thigh to detect DDH by assessing for hip dislocation.