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Questions 149

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Question 1 of 5

The 5-year-old is being tested for enterobiasis (pinworms). To collect a specimen for assessment of pinworms, the nurse should teach the mother to:

Correct Answer: A

Rationale: The tape test, applied to the perianal area at night or early morning, is the standard method to collect pinworm eggs.

Question 2 of 5

A neonatal nurse assesses a premature newborn baby using the Apgar score. All of the following assessments are given a score EXCEPT

Correct Answer: D

Rationale: The Apgar score evaluates appearance, pulse, grimace, activity, and respiration. Rooting (a feeding reflex) is not part of the Apgar assessment.

Question 3 of 5

The nurse administers ciproflaxin to a client and then realizes that the client is allergic to the medication. What nursing action is the priority for this client?

Correct Answer: D

Rationale: Notifying the health care provider is the priority to initiate immediate management of a potential allergic reaction, followed by monitoring and reporting.

Question 4 of 5

The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevated temperature is that:

Correct Answer: B

Rationale: Infection from abrasions is the most likely cause of fever post-accident, as it's a common complication.

Question 5 of 5

The nurse is caring for a client with B-Thalassemia major. Which therapy is used to treat Thalassemia?

Correct Answer: B

Rationale: Frequent transfusions manage severe anemia in B-Thalassemia major.

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