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Questions 149

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Question 1 of 5

A mother brings in her 9-month-old son for a routine checkup. She asks the nurse what developmental milestones to expect by 12 months of age. All of the following are correct responses by the nurse EXCEPT

Correct Answer: C

Rationale: By 12 months, infants can imitate gestures, hold a bottle, and respond to their name. Pointing to a named object typically develops closer to 18 months.

Question 2 of 5

The nurse is caring for a client receiving IV vancomycin. The trough level is 14 mcg/mL. The next dose is now due. What is the correct response by the nurse?

Correct Answer: A

Rationale: A trough level of 14 mcg/mL is within the therapeutic range (10–20 mcg/mL) for vancomycin, so the next dose can be given as ordered.

Question 3 of 5

A client is diagnosed with bleeding from the upper gastrointestinal system. The nurse would expect the client's stools to be:

Correct Answer: B

Rationale: Black, tarry stools (melena) indicate upper gastrointestinal bleeding due to digested blood.

Question 4 of 5

A 4-year-old with cystic fibrosis has a prescription for Viokase pancreatic enzymes to prevent malabsorption. The correct time to give pancreatic enzyme is:

Correct Answer: C

Rationale: Viokase should be given with each meal and snack to aid digestion and prevent malabsorption in cystic fibrosis.

Question 5 of 5

A client with congestive heart failure has been receiving digoxia (Laxoxin). Which finding indicates that the medication is having a desired effect?

Correct Answer: A

Rationale: Digoxin improves cardiac output in congestive heart failure, leading to increased urinary output due to enhanced renal perfusion.

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