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Questions 227

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Extract:

The child with a diagnosis of laryngotracheobronchtis


Question 1 of 5

The child with a diagnosis of laryngotracheobronchtis should be observed for:

Correct Answer: B

Rationale: Laryngotracheobronchitis (croup) is characterized by inspiratory stridor and potential lethargy due to airway obstruction.

Extract:


Question 2 of 5

The nurse is assessing an elderly client. When performing the assessment, the nurse should consider that one normal age-related change is:

Correct Answer: C

Rationale: Degenerative changes can lead to decreased reflexes, which is a normal result of aging. Cloudy vision, incontinence, and tremors may be signs and symptoms of underlying pathology and shouldn't be considered normal results of aging.

Question 3 of 5

A nurse is caring for a patient with chronic heart failure. Which of the following interventions should the nurse include in the plan of care? (Select all that apply)

Correct Answer: A,C,D,E

Rationale: Daily weight tracks fluid status, diuretics reduce overload, fluid restriction prevents exacerbation, and activity improves cardiac function. High-sodium diets worsen heart failure.

Question 4 of 5

The nurse is teaching a client with hypertension about dietary modifications. Which of the following foods should the nurse recommend the client avoid?

Correct Answer: C

Rationale: Canned soups are high in sodium, which exacerbates hypertension by increasing fluid retention and blood pressure. Fresh fruits (
A), whole grains (
B), and lean meats (
D) are low-sodium and appropriate for a hypertension diet.

Extract:

Bonnie and 4-year-old daughter moved to a new apartment. Two days after the move the girl became ill and was taken to the ER. Lead poisoning was suspected (plumbism). Lead was possibly inhaled from the fresh paint in the apartment.


Question 5 of 5

The nurse is aware that lead can fatally affect the

Correct Answer: B

Rationale: Lead is inhaled and deposited in bone marrow, blocking the formation of RBC, but it can seriously affect the central nervous system (CNS), leading to fatal consequences.

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