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Questions 164

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Question 1 of 5

A 2-year-old child seen in the emergency department is dehydrated and malnourished. The child’s parent reports that the child has had diarrhea for the past 2 weeks. Which observation is of most concern to the nurse?

Correct Answer: D

Rationale: Leaving young children in the care of a 9-year-old poses significant safety risks, indicating neglect and requiring immediate intervention. Job constraints, lack of concern, and single status are concerning but less immediately dangerous.

Question 2 of 5

A 3 year-old child is treated in the emergency department after ingestion of 1 ounce of a liquid narcotic. What action should the nurse perform first?

Correct Answer: C

Rationale: Check the mouth and radial pulse. Assessing airway, breathing, and circulation is the first step in treating toxic ingestion to stabilize the client.

Question 3 of 5

The father of an 8 month-old infant asks the nurse if his child's vocalizations are normal for his age. Which of the following would the nurse expect at this age?

Correct Answer: B

Rationale: Imitation of sounds. Eight-month-olds typically imitate sounds like 'da-da' as part of language development.

Question 4 of 5

Which of the following is a common complaint of the client with end-stage renal failure?

Correct Answer: B

Rationale: Itching is common in end-stage renal failure due to uremia and phosphate accumulation. Weight loss , tinnitus , and bruising are less specific.

Question 5 of 5

What is the primary goal of family education?

Correct Answer: B

Rationale: Improving quality of life is the primary goal of family education.

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