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Questions 149

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Question 1 of 5

A young woman who has a washing ritual has been late for breakfast each of the three days since admission. What is the most appropriate nursing intervention?

Correct Answer: C

Rationale: Allowing time for her ritual accommodates her compulsive behavior, reducing anxiety while ensuring she can eat.

Question 2 of 5

During a home visit to the adolescent just diagnosed with hepatitis A, the nurse provides education to the client and family to prevent the spread of the disease. Which information should the nurse provide? Select all that apply.

Correct Answer: A,D

Rationale: Hepatitis A spreads via the fecal-oral route. Hand washing and cleaning the toilet seat reduce transmission risk.

Question 3 of 5

The clinic nurse is preparing to assess the 14-year-old client who has impetigo on the hands and neck. In reviewing the client's history, the nurse would expect which predisposing factors to be associated with bacterial skin infections?

Correct Answer: B

Rationale: Diabetes mellitus and eczema increase the risk of bacterial skin infections like impetigo due to impaired skin barriers and immune responses.

Question 4 of 5

Lithium carbonate is ordered for a client with overactive behavior. The nurse should observe the client for which of these side effects?

Correct Answer: A

Rationale: Diarrhea is a common side effect of lithium, requiring monitoring to prevent dehydration or toxicity.

Question 5 of 5

After receiving multiple mosquito bites and experiencing flu-like symptoms, the adolescent consults the school nurse and asks whether West Nile virus is a concern and whether an HCP appointment is necessary. Which statement should be the basis for the nurse's response?

Correct Answer: B

Rationale: West Nile virus can cause mild to severe symptoms, including encephalitis, warranting medical evaluation.

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