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Questions 164

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Extract:


Question 1 of 5

The nurse admits a 7 year-old to the emergency room after a leg injury. The x-rays show a femur fracture near the epiphysis. The parents ask what will be the outcome of this injury. The appropriate response by the nurse should be which of these statements?

Correct Answer: B

Rationale: An epiphyseal (growth) plate fracture in a 7 year-old often results in retarded bone growth. The leg often will be different in length than the uninjured leg.

Question 2 of 5

A mother asks the nurse if she should be concerned about her child's tendency to stutter. What assessment data will be most useful in counseling the parent?

Correct Answer: A

Rationale: Age of the child. Stuttering is often a normal part of language development in preschoolers, making age a critical factor.

Question 3 of 5

A 2-year-old in the emergency department is suspected of having intussusception. Which assessment finding should the nurse expect?

Correct Answer: C

Rationale: Intussusception causes intestinal obstruction, often leading to 'currant jelly' stools (blood and mucus). Black, sticky stools suggest upper GI bleeding. Greasy stools indicate malabsorption. Ribbon-like stools suggest rectal narrowing.

Question 4 of 5

A mother has brought her 9-month-old baby to the physician's office for a well baby visit. Based on knowledge of normal growth and development, the nurse would expect that the ability the child has acquired most recently is which of the following?

Correct Answer: A

Rationale: By 9 months, sitting unsupported is a recently acquired milestone, typically achieved around 6-8 months, following earlier skills like rolling over and head control.

Extract:

Laboratory reference ranges
Platelets
150,000-400,000/mm3
(150-400 x 10%/L)


Question 5 of 5

The nurse prepares to administer morning medications to assigned clients. Which prescription should the nurse clarify with the health care provider?

Correct Answer: B

Rationale: Losartan is contraindicated in pregnancy due to fetal harm risks. Clopidogrel is safe with normal platelet counts, prednisone is appropriate for Bell palsy, and tiotropium is suitable for COPD despite pneumonia.

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