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Questions 158

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Question 1 of 5

A 5-year-old child is hospitalized for an acute illness. The nurse encourages the family to bring her favorite objects from home. What is the nurse's rationale?

Correct Answer: D

Rationale: Favorite objects from home assist in creating a familiar setting, preventing or minimizing separation anxiety.

Question 2 of 5

The nurse is teaching a client with a new diagnosis of hypertension about lifestyle modifications. Which recommendation is most appropriate?

Correct Answer: B

Rationale: Reducing sodium intake lowers blood pressure in hypertension by decreasing fluid retention. Exercise should be regular, caffeine avoided, and stress management encouraged.

Question 3 of 5

The nurse is observing a student gauss administering ear drops to a two-year-old. Which observation by the nurse would indicate correct technique?

Correct Answer: C

Rationale: Pulling the pinna down and back in children straightens the ear canal for proper ear drop administration. Head extension (
A), chin-tuck (
B), and irrigation (
D) are incorrect.

Question 4 of 5

The doctor has ordered Ampicillin 100 mg every six hours IV push for an infant weighing 7 kg. The suggested dose for infants is 25-50 mg/kg/day in equally divided doses. The nurse should:

Correct Answer: D

Rationale: The ordered dose (100 mg q6h = 400 mg/day) for a 7 kg infant is 57.14 mg/kg/day, exceeding the recommended 25-50 mg/kg/day. The nurse should verify the order to prevent overdose.

Question 5 of 5

A client with a history of a tonsillectomy is being discharged. The nurse should teach the client to:

Correct Answer: C

Rationale: Excessive swallowing post-tonsillectomy may indicate bleeding, a serious complication requiring immediate reporting. Gargling, cold liquids, and straws may irritate the surgical site.

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