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Extract:


Question 1 of 5

A client has been admitted in septic shock. Her nursing care plan includes the diagnosis High Risk for Injury (related to clotting disorder). Based on this diagnosis, all the following are appropriate entries in the nursing care plan except:

Correct Answer: D

Rationale: Firm, direct pressure should be applied to venipuncture sites for 3-7 minutes before final dressing because of the clotting abnormality.

Question 2 of 5

An 8 year-old child is hospitalized during the edema phase of minimal change nephrotic syndrome. The nurse is assisting in choosing the lunch menu. Which menu is the best choice?

Correct Answer: C

Rationale: This menu is lowest in sodium. Ideally, low fat milk would be available.

Extract:

The nurse is aware that immunization of infants does not begin until 2 months of age because:


Question 3 of 5

The nurse is aware that immunization of infants does not begin until 2 months of age because:

Correct Answer: D

Rationale: Maternal antibodies present at birth interfere with vaccine-induced immunity until about 2 months.

Extract:

The mother's condition has deteriorated during labor and a cesarean section is required. Her husband is worried and anxious about the changed of plan and demand for an explanation.


Question 4 of 5

Who among the following should explain the procedure to the husband?

Correct Answer: A

Rationale: The surgeon, as the procedure performer, is best suited to explain the cesarean section.

Extract:


Question 5 of 5

Which of the following is the primary force in sex education in a child's life?

Correct Answer: C

Rationale: Parents are the primary influence on a child's sex education, providing foundational values and information. Other sources like peers and media are influential but secondary. Health Promotion and Maintenance

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