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Question 1 of 5

Parents of children receiving chemotherapy should be warned that alopecia is a side effect and that:

Correct Answer: C

Rationale: Having a wig that looks like a girl's own hair can be a psychological boost to children and is helpful in fostering later adjustments to hair loss.

Question 2 of 5

A client with a history of chronic kidney disease is admitted with complaints of fatigue. The nurse should give priority to:

Correct Answer: A

Rationale: Fatigue in chronic kidney disease often results from anemia due to low erythropoietin, so monitoring for anemia is the priority.

Question 3 of 5

A client with a history of gout is receiving Allopurinol (Zyloprim). The nurse should teach the client to:

Correct Answer: A

Rationale: Allopurinol reduces uric acid, and increased fluid intake promotes uric acid excretion, preventing kidney stones. Dairy, empty stomach, and protein limits are not necessary.

Question 4 of 5

The best size cathlon for administration of a blood transfusion to a six-year-old is:

Correct Answer: D

Rationale: A 20-gauge catheter is appropriate for blood transfusions in a six-year-old balancing adequate flow rate and minimal vessel trauma. Smaller gauges (22) may be too small and larger gauges (18 19) are more invasive than necessary.

Question 5 of 5

A chronic alcoholic client's condition deteriorates, and he begins to exhibit signs of hepatic coma. Which of the following is an early sign of impending hepatic coma?

Correct Answer: C

Rationale: One of the earliest symptoms of hepatic coma is mental confusion. Asterixis, a flapping tremor of the hand, may also be seen.

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