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Questions 149

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Extract:


Question 1 of 5

The nurse has documented a treatment on the wrong client's record. Which of the following methods of indicating the error is correct?

Correct Answer: A

Rationale: A single line through the error with 'error' written above and initialed (
A) maintains transparency while correcting the record. Correction fluid (
B) is unacceptable, multiple lines (
C) obscure the record, and margin notes (
D) are insufficient.

Question 2 of 5

A 17-year-old adolescent, diagnosed with schizophrenia, is admitted by the nurse to a psychiatric facility. Which behaviors would characterize this diagnosis? Select all that apply.

Correct Answer: A,C

Rationale: Flat affect and hallucinations are hallmark symptoms of schizophrenia. Fast speech or feeling energized may occur but are not specific to this diagnosis.

Question 3 of 5

The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?

Correct Answer: B

Rationale: vomiting contraindicated when child ingests hydrocarbons due to danger of aspiration

Question 4 of 5

The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?

Correct Answer: C

Rationale: Knowledge deficit is a priority, as education on managing juvenile diabetes is critical for long-term health and compliance.

Question 5 of 5

The nurse is caring for a postpartum client 2 hours post-delivery who is unable to void. Which of the following nursing interventions should be considered initially?

Correct Answer: D

Rationale: Palpating the bladder assesses for distention, which may indicate urinary retention, guiding further interventions without immediately resorting to invasive measures.

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