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Question 1 of 5

The doctor has ordered a stool specimen for culture. When collecting a stool specimen, the nurse should:

Correct Answer: A

Rationale: Extracting from the center ensures a representative sample for culture. Other methods risk contamination or improper handling.

Question 2 of 5

A nurse assigned to the rural health clinic is to administer a Mantoux test to a group of factory workers. The nurse should administer the test in each client's:

Correct Answer: C

Rationale: The Mantoux test is administered intradermally in the forearm for accurate reading of the tuberculin reaction. Thigh , buttock , and upper arm are incorrect sites.

Question 3 of 5

The physician prescribes penicillin potassium oral suspension 56 mg/kg/day in four divided doses for a client with anorexia nervosa who weighs 25 kg. The medication dispensed by the pharmacy contains a dosage strength of 125 mg/5 ml. How many milliliters of solution should the nurse administer with each dose?

Correct Answer: A

Rationale:
To determine the total daily dosage, set up the following proportion: 25 kg/X = 1 kg/56 mg, X = 1,400 mg. Next, divide the daily dosage by four doses to determine the dose to administer every 6 hours: X = 1,400 mg/4 doses, X = 350 mg/dose. The adolescent should receive 350 mg every 6 hours. Lastly, calculate the volume to give for each dose by setting up this proportion: X/350 mg = 5 ml/125 mg, X = 14 ml.

Question 4 of 5

Which is an expected finding in the normal newborn?

Correct Answer: B

Rationale: Acrocyanosis (bluish extremities) is normal in newborns due to immature circulation. Undescended testicles, absent sucking pads, and retractions are abnormal.

Question 5 of 5

The mother of a 3-year-old is complaining that her son still throws temper tantrums when he doesn't get his way. How should the nurse advise the mother to respond?

Correct Answer: A

Rationale: This child is in Erikson's developmental stage of initiative versus guilt. Guilt develops when the child is made to feel bad about his behavior. Ignoring the negative behavior shows the child that he'll gain nothing through negative behavior such as temper tantrums. Promising the child a new toy or giving in to his demands will reinforce his negative behavior by rewarding his tantrums. Mimicking the child will make him feel guilty.

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