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RIFIED UPDATE b
In planning care for a 6 month-
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old infant, what must the nurse provide to assist in the development of trust?
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A) Food
B) Warmth
C) Security
D) Comfortb-bANS>>C)bSecurity
A nurse has just received a medication order which is not legible. Which statement best reflects
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assertive communication?
b b
A) "Ibcannotbgivebthisbmedicationbasbitbisbwritten.bIbhavebnobideabofbwhatbyoubmean."
B) "WouldbyoubpleasebclarifybwhatbyoubhavebwrittenbsobIbambsurebIbambr
eading it correctly?" b b
C) "I am having difficulty reading your handwriting. It would save me time if you would be mor
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e careful."
b
D) "Pleaseb printb inb theb futureb sob Ib dob notb haveb tob spendb extrab timeb attemptingb tob readb yourb
writing." - b
ANS>>B) "Would you please clarify what you have written so I am sure I am r
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eading it correctly?" b b
What is the most important consideration when teaching parents how to reduce risks in the h
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ome?
A) Agebandbknowledgeblevelbofbthebparents
B) Proximitybtobemergencybservices
C) Numberbofbchildrenbinbthebhome
D) Agebofbchildrenbinbthebhomeb-bANS>>D)bAgebofbchildrenbinbthebhome
A 35 year-
b b
old client with sickle cell crisis is talking on the telephone but stops as the nurse enters the r
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oom to request something for pain. The nurse should
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A) Administerbabplacebo
,B) Encouragebincreasedbfluidbintake
C) Administerbthebprescribedbanalgesia
D) Recommendbrelaxationbexercisesbforbpainbcontrolb-
b ANS>>C) Administer the prescribed analgesia
b b b b
,While caring for a toddler with croup, which initial sign of croup requires the nurse's immediat
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e attention?
b
A) Respiratorybratebofb42
B) Lethargybforbthebpastbhour
C) Apicalbpulsebofb54
D) Coughingbupbcopiousbsecretionsb-bANS>>A)bRespiratorybratebofb42
A client is admitted with low T3 and T4 levels and an elevated TSH level. On initial assessment,
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the nurse would anticipate which of the following assessment findings?
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A) Lethargy
B) Heatbintolerance
C) Diarrhea
D) Skinberuptionsb-bANS>>A)bLethargy
The emergency room nurse admits a child who experienced a seizure at school. The father com
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ments that this is the first occurrence, and denies any family history of epilepsy. What is the b
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est response by the nurse?
b b b b
A) "Dobnotbworry.bEpilepsybcanbbebtreatedbwithbmedications."
B) "Thebseizurebmayborbmaybnotbmeanbyourbchildbhasbepilepsy."
C) "Sincebthisbwasbthebfirstbconvulsion,bitbmaybnotbhappenbagain."
D) "Longbtermbtreatmentbwillbpreventbfuturebseizures."b-
ANS>>B) "The seizure may or may not mean your child has epilepsy."
b b b b b b b b b b b b
Alcohol and drug abuse impairs judgment and increases risk taking behavior. What nursing di
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agnosis best applies? b b
A) Riskbforbinjury
B) Riskbforbknowledgebdeficit
C) Alteredbthoughtbprocess
D) Disturbancebinbself-esteemb-bANS>>A)bRiskbforbinjury
Which these findings would the nurse more closely associate with anemia in a 10 month-
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old infant?
b
A) Hemoglobinblevelbofb12bg/dI
B) Palebmucosabofbthebeyelidsbandblips
30b/b36
, C) Hypoactivity
D) Abheartbratebbetweenb140btob160b-bANS>>B)bPalebmucosabofbthebeyelidsbandblips
The nurse is caring for a client in hypertensive crisis in an intensive care unit. The priority ass
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essment in the first hour of care is
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A) Heartbrate
31b/b36