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Questions 149

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Question 1 of 5

The nurse is assessing the laboratory results of a client scheduled to receive phenytoin (Dilantin). The Dilantin level, drawn 2 hours ago, is 30 mcg/mL. What is the appropriate nursing action?

Correct Answer: B

Rationale: A Dilantin level of 30 mcg/mL is above the therapeutic range (10-20 mcg/mL), indicating toxicity risk. The nurse should hold the dose and notify the physician for further orders.

Question 2 of 5

Which of the following characterizes peer group relationships in 8- and 9-year-olds?

Correct Answer: B

Rationale: At 8-9 years, children form strong same-sex friendships with loyalty, often engaging in group activities that reinforce social bonds.

Question 3 of 5

After a cardiac catheterization procedure, the nurse should ask the client to remain in which position?

Correct Answer: C

Rationale: The supine position with a small pillow under the head promotes comfort and prevents bleeding from the catheter insertion site (usually femoral) after cardiac catheterization.

Question 4 of 5

Along with traditional therapy, a client asks the nurse about alternative therapies for chronic pain. Which could the nurse provide to the client?

Correct Answer: A, B, C, D

Rationale: Yoga, acupuncture, music therapy, and hypnosis are all recognized alternative therapies for managing chronic pain, complementing traditional treatments.

Question 5 of 5

The charge nurse is making assignments for the day. After accepting the assignment to a client with leukemia, the nurse tells the charge nurse that her child has chickenpox. Which initial action should the charge nurse take?

Correct Answer: D

Rationale: Asking if the nurse has had chickenpox determines her immunity, as non-immune nurses risk transmitting varicella to an immunocompromised leukemia patient.

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