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Extract:


Question 1 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:

A patient is getting discharged from a long term facility. The patient has a history of severe COPD and PVD. The patient is primarily concerned about their ability to breathe easily.


Question 2 of 5

Which of the following would be the best instruction for this patient?

Correct Answer: A

Rationale: Deep breathing techniques improve oxygenation, critical for COPD patients.

Extract:


Question 3 of 5

The nurse is caring for a client with a history of heart failure who is receiving furosemide (Lasix). Which of the following laboratory values should the nurse monitor?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, can cause hypokalemia, increasing the risk of arrhythmias in heart failure patients, so serum potassium must be monitored closely. Glucose (
B), cholesterol (
C), and hemoglobin (
D) are not directly affected by furosemide.

Question 4 of 5

The nurse is teaching a client about erythema infectiosum. Which of the following factors are not correct?

Correct Answer: B

Rationale: Erythema infectiosum (Fifth disease) is common in adults, contrary to the statement. The other factors are correct: it typically presents with a 'slapped face' rash, no fever, and a characteristic rash. Safety and Infection Control

Extract:

The patient has been receiving 2500 ml of IV fluid and 300 to 400 ml of oral intake daily for 2 days. The patient's urine output has been decreasing and now has been less than 40 ml per hour for the past 3 hours.


Question 5 of 5

The nurse should immediately:

Correct Answer: B

Rationale: Low urine output suggests renal or fluid issues, requiring vital signs and breath sound assessment.

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