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Questions 148

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Extract:


Question 1 of 5

During a unit card game, a client with acute mania begins to sing loudly as she starts to undress. The nurse should:

Correct Answer: D

Rationale: Covering the client and escorting her to a private area maintains dignity and safety, addressing the inappropriate behavior calmly.

Question 2 of 5

Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

Correct Answer: C

Rationale: Yogurt is rich in calcium, which is essential for bone health in osteoporosis management.

Question 3 of 5

A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:

Correct Answer: A

Rationale: Atopic dermatitis involves inflamed skin prone to infection, so preventing infection through gentle skin care and monitoring is a priority.

Question 4 of 5

The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?

Correct Answer: D

Rationale: Intrathecal administration involves delivering medication directly into the cerebrospinal fluid, typically via a spinal injection, to target the central nervous system effectively.

Question 5 of 5

The nurse is developing a plan of care for a client with an ileostomy. The priority nursing diagnosis is:

Correct Answer: A

Rationale: Fluid volume deficit is the priority due to the risk of dehydration from high ileostomy output, which can lead to electrolyte imbalances and other complications.

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