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Question 1 of 5

A client is admitted with disseminated herpes zoster (shingles). According to the Centers for Disease Control Guidelines for Infection Control:

Correct Answer: A

Rationale: Disseminated herpes zoster requires airborne precautions because the varicella-zoster virus can spread through respiratory droplets in immunocompromised patients.

Question 2 of 5

Which of the following activities have been associated with an increase in lead exposure?

Question Image

Correct Answer: A, C, D, F

Rationale: Lead exposure risks include stained glass work (
A), restoring old toys (
C), decorative mugs (
D), and pre-1950 homes (F) due to lead-based paint or glazes. Disposable bottles (
B) and non-stick cookware (E) are not significant sources.

Question 3 of 5

The client with a history of epilepsy is prescribed valproic acid (Depakote). Which laboratory test should the nurse monitor?

Correct Answer: A

Rationale: Valproic acid can cause hepatotoxicity, so liver function tests (e.g., AST, ALT) are monitored regularly. Renal function, blood counts, and electrolytes are less commonly affected.

Question 4 of 5

The client is admitted with a diagnosis of acute glomerulonephritis. Which assessment finding is most expected?

Correct Answer: A

Rationale: Hematuria is a hallmark of acute glomerulonephritis due to glomerular inflammation and damage, leading to blood in the urine. Hypertension, weight gain, and oliguria are more common than hypotension, weight loss, or clear urine.

Question 5 of 5

In an interview for suspected child abuse, the child's mother openly discusses her feelings. She feels her husband is too aggressive in disciplining their child. The child's father states, 'Being a school custodian, I see kids every day that are bad because they did not get enough discipline at home. That will not happen to our child.' Based on this remark, the nurse would make the following nursing diagnosis:

Correct Answer: D

Rationale: There is no evidence of fear as the child is unable to communicate. There is actual injury, but the parents have not yet admitted causing the child's injuries. This diagnosis is incomplete. There is no specific ineffective coping behavior identified in this nursing diagnosis. Altered family process best describes the family dynamics in this situation. The parents have admitted severe disciplinary action.

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