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Extract:


Question 1 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 2 of 5

The nurse is assessing a healthy child at the 2 year check up. Which of the following should the nurse report immediately to the health care provider?

Correct Answer: A

Rationale: Height and weight percentiles vary widely. Significant discrepancies in growth percentiles may indicate underlying health issues requiring further evaluation.

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 3 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.

Extract:

Arteriosclerosis:


Question 4 of 5

Arteriosclerosis:

Correct Answer: A

Rationale: Arteriosclerosis involves hardening of arteries due to calcium plaques and loss of elasticity.

Extract:


Question 5 of 5

An elderly diabetic who has been maintained on metformin (Glucophage) is scheduled for a cardiac catheterization. Which instruction should be given to the client?

Correct Answer: C

Rationale: Metformin can cause renal problems, and the contrast dye used in cardiac catheterization is nephrotoxic. The medication should be discontinued before the exam and replaced with insulin temporarily.

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