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Questions 149

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Question 1 of 5

A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?

Correct Answer: A

Rationale: Self-harm indicates a safety risk, requiring parental notification to ensure the student receives appropriate intervention.

Question 2 of 5

A client develops mastitis in the postpartum period. Which of the following instructions does the nurse anticipate when notifying the physician? Select all that apply.

Correct Answer: A,C,E

Rationale: Mastitis is typically treated with antibiotics (
A) for 7-10 days to address the infection. Alternating hot and cold compresses (
C) can help relieve pain and reduce inflammation. Continuation of breastfeeding (E) is encouraged to promote milk flow and prevent further complications, unless contraindicated. Opioid analgesia (
B) is not typically required, and discontinuation of breastfeeding (
D) is not recommended as it may worsen the condition.

Question 3 of 5

A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?

Correct Answer: A

Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.

Question 4 of 5

A client is receiving a blood transfusion following surgery. In the event of a transfusion reaction, any unused blood should be:

Correct Answer: D

Rationale: Unused blood must be returned to the blood bank for analysis in case of a transfusion reaction.

Question 5 of 5

A 6-month-old is hospitalized with symptoms of botulism. What aspect of the infant's history is associated with Clostridium botulinum infection?

Correct Answer: B

Rationale: Honey can contain Clostridium botulinum spores, which are a common cause of infant botulism in children under 12 months, as their digestive systems cannot eliminate the spores.

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