VERIFIED ANSWERS 2024 LATEST
UPDATE WITH CORRECT ANSWERS A+
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A 2 year-old child has just been diagnosed with cystic fibrosis.
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The child's father asks the nurse "What is our major concern
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now, and what will we have to deal with in the future?" Which
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of the following is the best response?
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A) "There is a probability of life-long complications."
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B) "Cystic fibrosis results in nutritional concerns that can be
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dealt with."
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C) "Thin, tenacious secretions from the lungs are a constant
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struggle in cystic fibrosis."
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D) "You will work with a team of experts and also have access
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to a support group that the family can attend." ...ANS: C)
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"Thin, tenacious secretions from the lungs are a constant
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struggle in cystic fibrosis."
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A 20 year-old client has an infected leg wound from a
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motorcycle accident, and the client has returned home from
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the hospital. The client is to keep the affected leg elevated and
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is on contact precautions. The client wants to know if visitors
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can come. The appropriate response from the home health
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nurse is that:
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A) Visitors must wear a mask and a gown
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,B) There are no special requirements for visitors of clients on
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contact precautions
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C) Visitors should wash their hands before and after touching
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the client
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D) Visitors ...ANS: C) Visitors should wash their hands before
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and after touching the client
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A 26-year-old female client is admitted to the hospital for
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treatment of a simple goiter, and levothyroxine sodium
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(Synthroid) is prescribed. Which symptoms indicate to the
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nurse that the prescribed dosage is too high for this client? The
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client experiences:
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A. Bradycardia and constipation
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B. Lethargy and lack of appetite
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C. Muscle cramping and dry, flushed skin
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D. Palpitations and shortness of breath ...ANS: D.
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Palpitations and shortness of breath
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A 30 month-old child is admitted to the hospital unit. Which of
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the following toys would be appropriate for the nurse to select
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from the toy room for this child?
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A) Cartoon stickers
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B) Large wooden puzzle
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C) Blunt scissors and paper
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D) Beach ball ...ANS: B) Large wooden puzzle
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A 35 year-old client with sickle cell crisis is talking on the
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telephone but stops as the nurse enters the room to request
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something for pain. The nurse should
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A) Administer a placebo
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,B) Encourage increased fluid intake
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C) Administer the prescribed analgesia
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D) Recommend relaxation exercises for pain control ...ANS:
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C) Administer the prescribed analgesia
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A 38 year-old female client is admitted to the hospital with an
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acute exacerbation of asthma. This is her third admission for
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asthma in 7 months. She describes how she doesn't really like
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having to use her medications all the time. Which explanation
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by the nurse best describes the long-term consequence of
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uncontrolled airway inflammation?
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A) Degeneration of the alveoli
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B) Chronic broncho constriction of the large airways
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C) Lung remodeling and permanent changes in lung function
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D) Frequent pneumonia ...ANS: C) Lung remodeling and
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permanent changes in lung function
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A 60 year-old male client had a hernia repair in an outpatient
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surgery clinic. He is awake and alert, but has not been able to
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void since he returned from surgery 6 hours ago.He received
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1000 mL of IV fluid. Which action would be most likely to help
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him void?
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A) Have him drink several glasses of water
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B) Crede' the bladder from the bottom to the top
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C) Assist him to stand by the side of the bed to void
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D) Wait 2 hours and have him try to void again ...ANS: C)
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Assist him to stand by the side of the bed to void
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A 65-year-old Hispanic-Latino client with prostate cancer
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rates his pain as a 6 on a 0- to-10 scale. The client refuses all
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, pain medication other than Motrin, which does not relieve his
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pain. The next action for the nurse to take is to
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A) Ask the client about the refusal of certain pain medications
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B) Talk with the client's family about the situation
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C) Report the situation to the health care provider
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D) Document the situation in the notes ...ANS: A) Ask the
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client about the refusal of certain pain medications
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A child is admitted to the pediatric unit with a diagnosis of
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suspected meningococcal meningitis. Which admission
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orders should the nurse do first?
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A) Institute seizure precautions
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B) Monitor neurologic status every hour
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C) Place in respiratory/secretion precautions
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D) Cefotaxime IV 50 mg/kg/day divided q6h ...ANS: C) Place
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in respiratory/secretion precautions
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A client asks the nurse to call the police and states: "I need to
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report that I am being abused by a nurse." The nurse should
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first
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A) Focus on reality orientation to place and person
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B) Assist with the report of the client's complaint to the police
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C) Obtain more details of the client's claim of abuse
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D) Document the statement on the client's chart with a report
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to the manager ...ANS: C) Obtain more details of the client's
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claim of abuse
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A client develops volume overload from an IV that has infused
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too rapidly. What assessment would the nurse expect to find?
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A) S3 heart sound
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