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Question 1 of 5

Following change-of-shift report on an orthopedic unit, which client should the nurse see first?

Correct Answer: C

Rationale: Look for the client who has the most imminent risks and acute vulnerability. The client who returned from surgery 2 hours ago is at risk for life threatening hemorrhage and should be seen first.

Question 2 of 5

The nurse is talking with the parent of a pediatric client with attention deficit hyperactivity disorder who has a new prescription for methylphenidate. The parent asks, 'How will I know that the medication is effective?' Which of the following responses would be appropriate for the nurse to make?

Correct Answer: D

Rationale: Methylphenidate improves focus and task completion in ADHD. It may increase irritability or decrease appetite as side effects, and sleep patterns vary but aren't a primary indicator of effectiveness.

Question 3 of 5

The nurse is assessing a 12 year-old who has hemophilia A. Which finding would the nurse anticipate?

Correct Answer: C

Rationale: Hemophilia A is characterized by an absence or deficiency of Factor VIII.

Question 4 of 5

The nurse is planning to give a 3 year-old child oral digoxin. Which of the following is the best approach by the nurse?

Correct Answer: D

Rationale: Would you like to take your medicine from a spoon or a cup? Offering a choice empowers the child and reduces resistance.

Question 5 of 5

The nurse is reinforcing teaching about ulcer prevention with a client newly diagnosed with peptic ulcer disease. Which of the following client statements indicate appropriate understanding of teaching? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Avoiding NSAIDs (ibuprofen), excess coffee/cola, smoking, and alcohol reduces ulcer irritation and promotes healing. Whole wheat foods are beneficial for digestion and not contraindicated.

Similar Questions

A 2-month-old recently diagnosed with developmental dysplasia of the hip is beginning treatment with a Pavlik harness. Which instructions should the nurse reinforce to the parents? Select all that apply.
Continuous bladder irrigation is prescribed for an adult who had bladder surgery; 1000 mL of irrigating solution was instilled in the last eight hours. The amount of drainage in the urine drainage bag for the last eight hours is 1700 mL. How much is the client's urine output for the last eight hours?
The practical nurse is assisting the registered nurse in creating a care plan for a client who is intubated, on mechanical ventilation, and receiving continuous enteral tube feedings via a small-bore nasogastric tube. Which interventions should be included to prevent aspiration in this client? Select all that apply.
The nurse has attended a staff education program about various types of diets. The nurse recognizes that which diet would place a client at the highest risk for megaloblastic anemia?
The nurse is caring for a client who has a pulmonary embolism. Which of the following findings would the nurse expect to observe? Select all that apply.

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