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Questions 227

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Extract:


Question 1 of 5

A batterer is usually someone who:

Correct Answer: C

Rationale: Many batterers have a history of experiencing or witnessing abuse, contributing to learned violent behavior. The other options are not consistently associated with battering. Psychosocial Integrity

Question 2 of 5

A nurse's neighbor complains of severe right flank pain. She explains that it began during the night, but she was able to take acetaminophen (Tylenol) and return to bed. When she awoke, the pain increased in intensity. How should the nurse intervene?

Correct Answer: C

Rationale: The nurse should advise the neighbor to seek medical attention. Explaining that she can't give medical advice might cause a delay in treatment. It's beyond the nurse's scope of practice to suggest that the neighbor might need surgery. Telling the neighbor she'll be fine might also delay treatment, and it isn't a professional response.

Extract:

A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:


Question 3 of 5

A mother indicates correct understanding of postpartum discharge instructions when starting that she will take her iron supplements with:

Correct Answer: D

Rationale: Orange juice enhances iron absorption due to its vitamin C content.

Extract:


Question 4 of 5

A client, age 21, is admitted with bacterial meningitis. Which hospital room would be the appropriate choice for this client?

Correct Answer: B

Rationale: A client with bacterial meningitis should be kept in isolation for at least 24 hours after admission and, during the initial acute phase, should be as close to the nurses' station as possible to allow maximal observation. Placing the client in a room with a client who has viral meningitis may cause harm to both clients because the organisms causing viral and bacterial meningitis differ; either client may contract the other's disease. Immunity to bacterial meningitis can't be acquired; therefore, a client who previously had bacterial meningitis shouldn't be put at risk by rooming with a client who has just been diagnosed with this disease.

Question 5 of 5

The physician orders palifermin (Kepivance) 60 mcg/kg to be administered daily. The client weighs 35 kg. The medication is supplied 5 mg/mL. How many mL would you administer?

Correct Answer: A

Rationale: Dose: 60 mcg/kg × 35 kg = 2100 mcg = 2.1 mg. 2.1 mg ÷ 5 mg/mL = 0.42 mL. Other options are incorrect calculations.

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