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UPDATE .
The nurse and a student nurse are discussing the specific points about
infants born to HBsAg-positive mothers. Which of these comments by the
student indicates a need for clarification of
information?
A) "The infant will get the hepititis B vaccine (HepB) and the hepatitis
B immune globulin within 12 hours at birth at separate injection sites."
B) "The second dose can be given at 1 to 2 months of age."
C) "The third dose should be given at least 16 weeks from the second dose."
D) "The last dose in the series is not to be given before age 24 weeks."
The correct answer is C: "The third dose should be given at least 16 weeks
from the second dose."
A 74 year-old male is admitted due to inability to void. He has a history of
an enlarged prostate and has not voided in 14 hours. When assessing for
bladder distention, the best method for the nurse to use is to assess for
A) Rebound tenderness
B) Left lower quadrant dullness
C) Rounded swelling above the pubis
D) Urinary discharge
The correct answer is C: Rounded swelling above the pubis
, Which one of the following statements, if made by the client,
indicates teaching about Inderal (propranolol) has been effective?
A) "I may experience seizures if I stop the medication apruptly."
B) " I may experience an increase in my heart rate for a few weeks."
C) ” I can expect to feel nervousness the first few weeks."
D) “ I can have a heart attack if I stop this medication suddenly."
The correct answer is D: “ I can have a heart attack if I stop this medication
suddenly."
A 6 month-old infant who is being treated for developmental dysplasia
of the hip has been placed in a hip spica cast. The nurse should teach the
parents to
A) Gently rub the skin with a cotton swab to relieve itching
B) Place the favorite books and push-pull toys in the crib
C) To check every few hours for the next day or 2 for swelling in the baby's feet
D) Turn the baby with the abduction stabilizer bar every 2 hours
The correct answer is C: To check frequently for swelling in the baby''s feet
, The nurse is teaching a client with cardiac disease about the anatomy and
physiology of the heart. Which is the correct pathway of blood flow through the
heart?
A) Right ventricle, left ventricle, right atrium, left atrium
B) Left ventricle, right ventricle, left atrium, right atrium
C) Right atrium, right ventricle, left atrium, left ventricle
D) Right atrium, left atrium, right ventricle, left ventricle
The correct answer is C: Right atrium, right ventricle, left atrium, left ventricle
The nurse manager has a nurse employee who is suspected of a
problem with chemical dependency. Which intervention would be the best
approach by the nurse manager?
A) Confront the nurse about the suspicions in a private meeting
, B) Schedule a staff conference, without the nurse present, to collect information
C) Consult the human resources department about the issue and needed actions
D) Counsel the employee to resign to avoid investigation
The correct answer is C: Consult the human resources department about the
issue and needed actions
The nurse would teach a client with Raynaud's phenomenon that it is most
important to