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Questions 149

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Question 1 of 5

A client with prostate cancer has been given the option of various treatments and asks the nurse for advice. Which of the following is the most appropriate response?

Correct Answer: A

Rationale: Discussing options and feelings (
A) supports the client's decision-making without giving direct advice. Other responses (B, C,
D) dismiss the client's request or overstep the nurse's role.

Question 2 of 5

The nurse is reviewing a client's PRN pain medications. There is an order for acetaminophen 1,000 mg PO q4 hours as needed for pain. How should the nurse proceed?

Correct Answer: B

Rationale: Acetaminophen 1,000 mg q4 hours PRN is within safe dosing (max 4,000 mg/day), so it can be administered as ordered.

Question 3 of 5

The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?

Correct Answer: C

Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.

Question 4 of 5

The nurse is performing discharge teaching to the parents of a 7-year-old who has been diagnosed with asthma. Which sports activity would be most appropriate for this client?

Correct Answer: B

Rationale: Swimming is ideal for asthma clients as it promotes controlled breathing in a warm, humid environment, reducing the risk of exercise-induced bronchospasm.

Question 5 of 5

A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: A

Rationale: High fever is a hallmark of bacterial pneumonia due to the body's response to infection.

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