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Questions 158

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Question 1 of 5

A child with Down syndrome has a developmental age of four years. According to the Denver Developmental Assessment, the four-year-old should be able to:

Correct Answer: B

Rationale: Per the Denver Developmental Screening Test, a four-year-old should be able to state their first and last name, a milestone achievable despite Down syndrome delays.

Question 2 of 5

The nurse is caring for a client with a history of a fractured tibia who is in a cast. The client complains of pain unrelieved by medication. The nurse should:

Correct Answer: C

Rationale: Unrelieved pain in a casted tibia may indicate compartment syndrome or infection, requiring immediate physician notification. Ice and elevation are insufficient, and massage is contraindicated.

Question 3 of 5

The client is diagnosed with a hiatal hernia. Which instruction should the nurse include in the teaching plan?

Correct Answer: C

Rationale: Avoiding lying down after meals prevents acid reflux in hiatal hernia. Small meals, elevating the head of the bed, and avoiding caffeine are also recommended.

Question 4 of 5

Signs and symptoms of an allergy attack include which of the following?

Correct Answer: D

Rationale: Prolonged expiration occurs in allergy attacks due to constricted, edematous bronchial lumina, which impair air movement during exhalation.

Question 5 of 5

The nurse is teaching a client with a history of type 1 diabetes about insulin storage. The nurse should tell the client to:

Correct Answer: A

Rationale: Refrigerating unopened insulin vials preserves potency, ensuring effective diabetes management.

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