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Questions 176

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Question 1 of 5

A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize

Correct Answer: B

Rationale: Administration of thyroid hormone will prevent problems. Early identification and continued treatment with hormone replacement corrects this condition.

Question 2 of 5

The spouse of a client with Alzheimer's disease expresses concern about the burden of caregiving. Which of the following actions by the nurse should be a priority?

Correct Answer: A

Rationale: Assisting caregivers to locate and join support groups is most helpful. Families share feelings and learn about services such as respite care. Health education is also available through local and national Alzheimer's chapters.

Question 3 of 5

The home health aide reports to the practical nurse that the client has been trying to give away possessions. When the nurse asks the client about this behavior, the client says, 'With my spouse dead, there's no reason for me to go on.' What is the best response by the nurse?

Correct Answer: A

Rationale: The client's statement and behavior suggest suicidal ideation. Directly asking about thoughts of self-harm (
A) is the most appropriate response to assess risk and ensure safety. Options B, C, and D are less direct and may delay critical intervention.

Question 4 of 5

Which of the following toys is the most appropriate for a 2-year old with Tetralogy of Fallot?

Correct Answer: C

Rationale: A push-pull toy encourages gentle physical activity suitable for a 2-year-old with Tetralogy of Fallot, who may tire easily. A toy horn requires exertion, a stethoscope is not age-appropriate, and a shape sorter is sedentary.

Question 5 of 5

The nurse is reinforcing home care instructions to a client newly diagnosed with osteomalacia. Which of the following client statements indicate proper understanding of teaching? Select all that apply.

Correct Answer: C, D

Rationale: Vitamin D-rich foods (
C) and physical activity (
D) improve bone health in osteomalacia. Avoiding calcium/phosphorus (
A), sunlight (
B), or using a cane (E) are incorrect or unnecessary.

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