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Question 1 of 5

A nurse is providing a parenting class to individuals living in a community of older homes. In discussing formula preparation, which of the following is most important to prevent lead poisoning?

Correct Answer: C

Rationale: Use of lead-contaminated water to prepare formula is a major source of poisoning in infants. Letting tap water run for several minutes will diminish the lead contamination.

Question 2 of 5

A client with emphysema visits the clinic. While teaching about proper nutrition, the nurse should emphasize that the client should

Correct Answer: B

Rationale: Use oxygen during meals to improve gas exchange. This supports breathing and energy needs during eating.

Question 3 of 5

A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test. What is the best action by the charge nurse to handle this situation?

Correct Answer: D

Rationale: Verifying the glucose result personally (
D) provides evidence of falsification. Asking a client (
A) is unreliable, a staff meeting (
B) is too general, and a warning (
C) is premature without proof.

Question 4 of 5

The nurse prepares a 7-year-old client for an influenza injection. The nurse explains that the client will receive 'medicine under the skin,' and the client is visibly anxious. Which nursing intervention is appropriate?

Correct Answer: D

Rationale: Hiding the needle (
D) reduces anxiety. Counting (
A) may not distract enough, holding arms (
B) can increase fear, and denying pain (
C) is dishonest.

Question 5 of 5

A client receiving end-of-life care is no longer able to make decisions. The client's appointed medical power of attorney (MPOA) is considering placement of a percutaneous enterogastric feeding tube. The MPOA asks the nurse, 'What would you do if this was your family member?' How should the nurse respond?

Correct Answer: C

Rationale: Exploring pros and cons (
C) empowers the MPOA to make an informed decision. Personal opinions (
A), chaplain referral (
B), or family meetings (
D) are less direct.

Similar Questions

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The nurse is caring for a man who has recently been diagnosed with angina. Which statement he makes indicates understanding of his condition?
The nurse is talking with the parents of a 4-year-old client. The parents are concerned because the client was previously toilet trained but has started wetting the bed again while hospitalized. Which of the following responses would be most appropriate for the nurse to make?
The nurse is screening pediatric clients for developmental dysplasia of the hip (DDH). Which of the following findings would be consistent with DDH in a 3-week-old client?
The nurse is collecting data from a client with suspected panic disorder. Which of the following findings would be consistent with the condition?

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