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Question 1 of 5

A home health nurse visits a 7-year-old boy on neutropenic precautions. His mother cares for him during the day. Which of the following statements by the mother indicates a need for further teaching?

Correct Answer: C

Rationale: Live vaccines (e.g., nasal flu vaccine) require a 3-week wait, but the standard flu shot is inactivated, posing no risk. The other statements are correct for neutropenic precautions.

Question 2 of 5

The nurse is admitting a client directly from a health provider's office. The client has a rash and has been diagnosed with measles. Which room assignment by the nurse indicates an understanding of the disease process of measles?

Correct Answer: A

Rationale: Measles requires airborne precautions, necessitating a private negative-pressure room to prevent transmission.

Question 3 of 5

Which of the following signs and symptoms would a nurse expect when examining a 22-year-old female with secondary syphilis?

Correct Answer: C

Rationale: Secondary syphilis presents with a non-itchy rash, often on the palms and soles. Chancres are primary syphilis, and skin tumors are tertiary syphilis.

Question 4 of 5

The nurse is caring for a client who was admitted to the burn unit 4 hours after the injury with second-degree burns to the trunk and head. Which finding would the nurse least expect to find during this time period?

Correct Answer: C

Rationale: Hypernatremia is least expected within 4 hours of a burn injury, as fluid shifts typically cause hyponatremia due to third-spacing. Hypovolemia, laryngeal edema, and hyperkalemia are common early findings.

Question 5 of 5

Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

Correct Answer: C

Rationale: Yogurt is rich in calcium, which is essential for bone health in osteoporosis management.

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