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Questions 164

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Question 1 of 5

A client with renal failure has an order for erythropoietin (Epogen) to be given subcutaneously. The nurse should teach the client to report:

Correct Answer: A

Rationale: Erythropoietin can increase blood viscosity, raising the risk of hypertension or thrombosis, which may present as a severe headache. Slight nausea , decreased urination , and itching are less specific or urgent.

Question 2 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.

Question 3 of 5

The nurse is reinforcing teaching about how to use a metered-dose inhaler to a 9-year-old with asthma. Place the nurse's instructions in the appropriate order. All options must be used.

Order the Items

Source Container

Exhale completely
Deliver one puff of medication into spacer
Place lips tightly around the mouth piece
Rinse mouth with water
Shake the inhaler and attach it to spacer
Take a slow deep breath, and hold it for 10 seconds

Correct Answer: E,A,B,C,F,D

Rationale: The correct order is: 1) Shake the inhaler and attach it to spacer (prepares medication); 2) Exhale completely (clears lungs); 3) Deliver one puff into spacer (releases medication); 4) Place lips tightly around the mouthpiece (ensures delivery); 5) Take a slow deep breath, and hold it for 10 seconds (allows medication absorption); 6) Rinse mouth with water (prevents oral thrush).

Question 4 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 5 of 5

The nurse is assessing a 4 year-old for possible developmental dysplasia of the right hip. Which finding would the nurse expect?

Correct Answer: D

Rationale: Characteristic limp. Developmental dysplasia produces a characteristic limp in children who are walking, indicating hip joint instability.

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