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Questions 148

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Extract:


Question 1 of 5

Clients with sickle cell anemia are taught to avoid activities that cause hypoxia and hypoxemia. Which of the following activities would the nurse recommend?

Correct Answer: D

Rationale: A bus trip to a museum is a low-exertion activity at sea level, minimizing the risk of hypoxia compared to high-altitude or strenuous activities.

Question 2 of 5

The nurse is preparing to administer a feeding via a nasogastric tube. The nurse would perform which of the following before initiating the feeding?

Correct Answer: A

Rationale: Aspirating stomach content confirms nasogastric tube placement, preventing aspiration.

Question 3 of 5

Which of the following statements describes Piaget's stage of concrete operations?

Correct Answer: C

Rationale: Piaget's concrete operations stage (ages 7-11) is characterized by logical and coherent thought processes, enabling problem-solving with concrete objects.

Question 4 of 5

The nurse is teaching the mother of a child with attention deficit disorder regarding the use of Ritalin (methylphenidate). The nurse recognizes that the mother understands her teaching when she states the importance of:

Correct Answer: C

Rationale: Ritalin, a stimulant, can cause side effects like insomnia or agitation, not oversedation. The mother's mention of oversedation indicates a misunderstanding, but the question implies correct teaching, so observing for side effects like overstimulation is key.

Question 5 of 5

A client with epilepsy is taking phenytoin. What long-term effects should the nurse advise the client can occur with prolonged administration of phenytoin? Select all that apply.

Correct Answer: A,B,E

Rationale: Phenytoin's long-term effects include gingival hypertrophy (
A), hirsutism (
B), and anemia (E). Facial hypertrophy (
C) and dementia (
D) are not associated with phenytoin.

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