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Questions 149

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Question 1 of 5

A pediatric client is admitted to the hospital for treatment of diarrhea caused by an infection with salmonella. Which of the following most likely contributed to the child's illness?

Correct Answer: B

Rationale: Turtles are common carriers of Salmonella, which can be transmitted to children through handling, leading to gastrointestinal infection.

Question 2 of 5

The charge nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should:

Correct Answer: B

Rationale: Exploring the interaction addresses the behavior appropriately.

Question 3 of 5

The nurse has assessed the assigned group of clients. Which client would the nurse identify as being at the greatest risk for alterations in sensory perception?

Correct Answer: B

Rationale: Severe autism often involves sensory processing issues, increasing risk for sensory perception alterations, especially during stressful procedures like surgery.

Question 4 of 5

A client with increased intracranial pressure is placed on mechanical ventilation with hyperventilation. The nurse knows that the purpose of the hyperventilation is to:

Correct Answer: B

Rationale: Hyperventilation reduces PaCO2, causing vasoconstriction and decreasing cerebral blood flow to reduce intracranial pressure.

Question 5 of 5

A client with hemophilia has a nosebleed. Which nursing action is most appropriate to control the bleeding?

Correct Answer: C

Rationale: Pinching the soft lower part of the nose is the most effective way to control a nosebleed in a client with hemophilia, as it applies direct pressure to the bleeding site.

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