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Questions 148

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Question 1 of 5

A 6-month-old client is placed on strict bed rest following a hernia repair. Which toy is best suited to the client?

Correct Answer: A

Rationale: A colorful crib mobile is age-appropriate and safe for a 6-month-old on bed rest, providing visual stimulation.

Question 2 of 5

The client with preeclampsia is admitted to the unit with an order for magnesium sulfate IV. Which action by the nurse indicates a lack of understanding of magnesium sulfate?

Correct Answer: A

Rationale: Avoiding blood pressure checks in one arm is unrelated to magnesium sulfate; the other actions align with monitoring and managing side effects.

Question 3 of 5

The nurse is providing instruction to a client's family regarding home safety with thrombocytopenia. Which statement by the client's family indicates a need for further education?

Correct Answer: D

Rationale: Rugs pose a tripping hazard, increasing bleeding risk in thrombocytopenia. Other statements reflect safe practices to minimize bleeding.

Question 4 of 5

A client has been diagnosed with renal insufficiency, which has led to pronounced fluid volume excess. The nurse would expect which of the following signs and symptoms? Select all that apply.

Correct Answer: A,C,E

Rationale: Renal insufficiency causes fluid retention, leading to decreased urine output, jugular vein distention, and tachycardia (compensatory response). Hypotension and weak pulse are more typical of fluid volume deficit.

Question 5 of 5

The '5 A's' of smoking cessation intervention begin with which of the following?

Correct Answer: B

Rationale: The 5 A's begin with Ask (
B), identifying tobacco use at every visit, followed by Advise, Assess, Assist, and Arrange.

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