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Questions 164

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Question 1 of 5

A client with myxedema should be prescribed which diet?

Correct Answer: B

Rationale: Myxedema (hypothyroidism) slows metabolism, so a high-carbohydrate diet provides energy to support metabolic needs.

Question 2 of 5

The nurse is reinforcing education to a group of clients who are pregnant or planning pregnancy. Which of the following client statements about alcohol use in pregnancy indicate a need for further education? Select all that apply.

Correct Answer: A,B,C,E

Rationale: No amount of alcohol is safe during pregnancy, as it can cause fetal alcohol spectrum disorders. Quitting at any point reduces harm. Alcohol can cause permanent damage, not just withdrawal. Third-trimester exposure still risks brain development. Stopping preconception is correct.

Question 3 of 5

A nurse is teaching a class for new parents at a local community center. The nurse would stress that what is most hazardous for an 8 month-old child?

Correct Answer: D

Rationale: Eating peanuts. Asphyxiation due to foreign materials in the respiratory tract is the leading cause of death in children younger than 6 years of age.

Question 4 of 5

Following change-of-shift report on an orthopedic unit, which client should the nurse see first?

Correct Answer: C

Rationale: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first.

Question 5 of 5

The nurse is planning care for a group of senior citizens. The nurse should plan activities that promote achievement of which developmental task?

Correct Answer: D

Rationale: Ego integrity, accepting one's life as meaningful, is the developmental task for seniors per Erikson's theory. Identity, intimacy, and generativity apply to younger stages.

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