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Questions 227

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Extract:


Question 1 of 5

A 57-year-old woman is recently widowed. She states, 'I will never be able to learn how to manage the finances. My husband did all of that.' Select the nurse's response that could help raise the client's self-esteem.

Correct Answer: C

Rationale: Affirming the client's strength and ability to learn builds self-esteem and encourages confidence. The other responses are either critical or directive, potentially lowering self-esteem. Psychosocial Integrity

Question 2 of 5

A patient with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy. Which of the following oxygen delivery devices is most appropriate for this patient?

Correct Answer: C

Rationale: The Venturi mask delivers precise oxygen concentrations, critical for COPD patients to avoid CO2 retention. Nasal cannulas are less precise, and non-rebreather or simple masks deliver high oxygen inappropriately.

Question 3 of 5

A 6 year-old child diagnosed with acute glomerulonephritis (AGN) is experiencing anorexia, moderate edema and elevated blood urea nitrogen (BUN) levels. The child requests a peanut butter sandwich for lunch. What would the nurse's best response to this request?

Correct Answer: C

Rationale: Children with AGN who have edema, hypertension oliguria and azotemia may have dietary restrictions limiting sodium, fluids, protein and potassium. Giving the child a short explanation and offering to talk about an alternative is appropriate for this age.

Extract:

The patient is receiving Lasix. The doctor made his round this morning and ordered ampicillin medication. The patient is to receive 3 grams of ampicillin per day. The ampicillin available stock is 500 mg/capsule.


Question 4 of 5

How many capsules would you administer to the patient?

Correct Answer: A

Rationale: 3 grams = 3000 mg; 3000 mg ÷ 500 mg/capsule = 6 capsules daily.

Extract:


Question 5 of 5

A 38 year-old female client is admitted to the hospital with an acute exacerbation of asthma. This is her third admission for asthma in 7 months. She describes how she doesn't really like having to use her medications all the time. Which explanation by the nurse best describes the long-term consequence of uncontrolled airway inflammation?

Correct Answer: C

Rationale: Lung remodeling and permanent changes in lung function will result. Chronic inflammation causes airway edema and obstruction, leading to permanent lung damage.

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