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Questions 164

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Question 1 of 5

A client diagnosed with acute glomerulonephritis has pitting edema in the lower extremities, a blood pressure of 170/80 mm Hg, and proteinuria. When the practical nurse is assisting in the development of a care plan for this client, which measurement is the most accurate indicator of fluid loss or gain and should therefore be included in the plan?

Correct Answer: B

Rationale: Daily weights (
B) are the most accurate for tracking fluid balance in glomerulonephritis. Blood pressure (
A), edema (
C), and intake/output (
D) are less precise.

Question 2 of 5

Because the client has hypothyroidism, the nurse expects which of the following to be present in the client?

Correct Answer: C

Rationale: Hypothyroidism slows metabolism, causing hypothermia (e.g., 96.8°F). Weight gain, not loss, slow respirations, and heavy menses are typical.

Question 3 of 5

The clinic nurse is planning to assess the visual acuity of a 6-year-old. Which method is the best way to assess visual acuity in this child?

Correct Answer: B

Rationale: The tumbling E chart (
B) is age-appropriate for a 6-year-old, who may not know letters. Allen cards (
A) are for younger children, Snellen at 10 ft (
C) is non-standard, and Ishihara (
D) tests color vision.

Question 4 of 5

The nurse is caring for a 5 year-old child whose left leg is in skeletal traction. Which of the following activities would be an appropriate diversional activity?

Correct Answer: C

Rationale: Playing hand held games. Immobilization with traction must be maintained until bone ends are in satisfactory alignment. Activities that increase mobility interfere with the goals of treatment.

Question 5 of 5

A nurse is assigned to a client who is newly admitted for treatment of a frontal lobe brain tumor. Which history offered by the family members would be recognized by the nurse as associated with the diagnosis, and communicated to the provider?

Correct Answer: B

Rationale: I find the mood swings and the change from a calm person to being angry all the time hard to deal with. Frontal lobe tumors affect emotions and judgment, causing mood swings and personality changes.

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