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Questions 149

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Question 1 of 5

The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?

Correct Answer: C

Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.

Question 2 of 5

A client with bacterial pneumonia is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: A

Rationale: High fever is a hallmark of bacterial pneumonia due to the body's response to infection.

Question 3 of 5

Which cephalic presentation is most common during delivery of a neonate?

Correct Answer: A

Rationale: Vertex presentation (
A), with the head flexed and occiput leading, is the most common (95%) during delivery.

Question 4 of 5

A young adult patient constantly seeks attention from the nurses, stomping away from the nurses’ station and pouting when her requests are refused. Which of the following responses by the nurse is MOST appropriate?

Correct Answer: B

Rationale: reward nonseeking attention behaviors by giving the patient unsolicited attention

Question 5 of 5

A client with Addison's disease has been receiving glucocorticoid therapy. Which finding indicates a need for dosage adjustment?

Correct Answer: C

Rationale: A weight gain of 6 pounds in a week suggests fluid retention, indicating possible overdosage of glucocorticoids, requiring adjustment.

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