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MCN 374 EXAM 2 CH 16, 21, 22, 23, 29 QUESTIONS WITH COMPLETE ANSWERS

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MCN 374 EXAM 2 CH 16, 21, 22, 23, 29 QUESTIONS WITH COMPLETE ANSWERS

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Which athletic activity can the nurse recommend for a school-age client with pulmonary-
artery hypertension?


1. Cross-country running


2. Soccer


3. Golf

,4. Basketball


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3. Golf




A child with pulmonary-artery hypertension should have exercise tailored to
avoid dyspnea. Golf would require less exertion than soccer, basketball, or
cross-country running.




The nurse is performing the initial assessment of a child newly diagnosed Kawasaki
disease. Which symptoms would the nurse expect to assess with this child?


1. Dry, swollen, fissured lips


2. Non-palpable lymph nodes


3. Conjunctivitis with exudates


4. Cyanosis of the hands and feet


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, 1. Dry, swollen, fissured lips




Dry, swollen, fissured lips are symptoms of Kawasaki disease. Lymph nodes
can be palpable, conjunctivitis is present but without exudates, and hands and
feet are typically erythematous.




The nurse prepares a DTaP (diphtheria, tetanus toxoid, and acellular pertussis)
immunization for a 6-month-old infant. To administer this injection safely, the nurse
chooses which needle, size and length, injection type, and injection site?


1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh.


2. 22-gauge, 1/2-inch needle; IM (intramuscular); ventrogluteal.


3. 25-gauge, 5/8-inch needle; ID (intradermal); deltoid.


4. 25-gauge, 3/4-inch needle; SQ (subcutaneous); anterolateral thigh.


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1. 25-gauge, 5/8-inch needle; IM (intramuscular); anterolateral thigh.




The dose of DTaP is 0.5 cc or 0.5 mL, to be given with a 22 to 25-gauge, 5/8-
to 3/4-inch needle; IM (intramuscularly). The only safe intramuscular injection
site for a 6-month-old infant is the anterolateral thigh

, A nurse working in a pediatric clinic is responsible for monitoring and maintaining the
vaccinations on site. Which actions are appropriate for this nurse to implement? Select all
that apply.


1. Fluctuate refrigerator and freezer temperatures each day.


2. Store vaccines in the center of the unit.


3. Check and record the temperature of the unit twice each day.


4. Have a plan for power outages.


5. Place bottles of water in each unit to help keep temperatures consistent.


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2. Store vaccines in the center of the unit.
3. Check and record the temperature of the unit twice each day.
4. Have a plan for power outages
5. Place bottles of water in each unit to help keep temperatures consistent.




Appropriate interventions for the nurse to implement in order to maintain the
potency of vaccines include storing the vaccines in the center of the unit,
checking and recording the temperature of the storage unit twice a day,
having a plan for power outages, and placing bottles of water in each unit to
help keep temperatures consistent. The temperature of the refrigerator and
freezer should be consistent and not fluctuate.




The nurse is caring for a pediatric client in Bryant skin traction. Which nursing intervention
is most appropriate for this client?

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