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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 moderate Alzheimer disease is started on memantine. What should the nurse monitor to evaluate the effectiveness of this medication?

Correct Answer: A

Rationale: Memantine may slow decline and improve daily functioning (
A). It does not stop progression (
B), provide rapid improvement (
C), or reverse Alzheimer's (
D).

Question 3 of 5

A nurse is collecting data on a 58-year-old client with blurred vision and reduced visual fields. The nurse finds which manifestation most concerning?

Correct Answer: B

Rationale: Extreme eye pain (
B) suggests acute conditions like glaucoma, requiring urgent attention. Difficulty in dim light (
A), peripheral vision loss (
C), and cataracts (
D) are less acute.

Question 4 of 5

A 56-year-old client who had a complete hysterectomy 8 months ago is admitted for opiate detoxification. The second day after admission, the client complains of abdominal cramping and sweating. What is the nurse's best response?

Correct Answer: D

Rationale: Abdominal cramping and sweating are withdrawal symptoms during opiate detoxification, requiring comfort measures and reassurance.

Question 5 of 5

The charge nurse in a long-term care facility is making assignments. When assigning personnel to care for residents, which principle is important?

Correct Answer: B

Rationale: Consistency with caregivers reduces anxiety and improves trust for confused clients, enhancing care quality. Daily rotation, gender restrictions, or caregiver choice are less effective.

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