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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 1 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:


Question 2 of 5

A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?

Correct Answer: B

Rationale: Pyelonephritis often ascends from untreated cystitis, a lower urinary tract infection. Pharyngitis, urolithiasis, or uric acid diet are not primary risk factors.

Question 3 of 5

A middle-aged woman tells the nurse that she has been experiencing irregular menses for the past six months. The nurse should assess the woman for other symptoms of:

Correct Answer: C

Rationale: Irregular menses in a middle-aged woman suggests perimenopause, a transitional phase with hormonal changes lasting about five years. Menopause is the permanent cessation of menses, and postmenopause follows it. Health Promotion and Maintenance

Question 4 of 5

After abdominal surgery, a client has a nasogastric tube attached to low suctioning. The client becomes nauseated, and the nurse observes a decrease in the flow of gastric secretions. Which of the following nursing interventions would be MOST appropriate?

Correct Answer: B

Rationale: Nausea and decreased NG tube output suggest possible obstruction. Aspirating with a syringe confirms tube placement and checks for blockages by testing the pH of aspirate (0–4 indicates gastric placement). Irrigation (
A) uses normal saline, not distilled water, and only after placement confirmation. Antiemetics (
C) or tube replacement (
D) do not address the cause.

Question 5 of 5

Acyclovir is the drug of choice for:

Correct Answer: B

Rationale: Acyclovir is specifically effective against herpes simplex virus (HSV) types 1 and 2 and varicella-zoster virus (VZV) by inhibiting viral DNA replication. It is not the drug of choice for HIV, CMV, or influenza A. Physiological Adaptation

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