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Questions 227

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Extract:


Question 1 of 5

The nurse is caring for a 10-year-old child who has classic hemophilia. He is admitted with a swollen right knee that is very painful. The nurse should plan to include which of the following as a priority in the care of this child upon admission?

Correct Answer: C

Rationale: A bed cradle keeps bedding off the painful, swollen knee (hemarthrosis), reducing discomfort, a priority in acute hemophilia management.

Question 2 of 5

A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?

Correct Answer: A

Rationale: Positive urine glucose and acetone suggest gestational diabetes mellitus (GDM), which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Pedal edema (
B), increased vaginal discharge (
C), and diaphragmatic pressure (
D) are common in late pregnancy and not typically concerning unless accompanied by other symptoms.

Question 3 of 5

A nurse is conducting a community health education session on influenza prevention. Which of the following recommendations should be included?

Correct Answer: B

Rationale: Frequent handwashing reduces influenza transmission by removing viruses from surfaces. Vaccination is critical for all ages, masks are beneficial, and fluid intake supports health, not prevention.

Extract:

A client has been on antibiotics for 72 hours for cystitis.


Question 4 of 5

Which report from the client requires priority attention by the nurse?

Correct Answer: C

Rationale: Rashes and breathing problems are signs of a delayed allergic reaction to antibiotics, requiring urgent attention.

Extract:


Question 5 of 5

A patient with borderline personality disorder is exhibiting self-harming behaviors. Which of the following interventions is most appropriate?

Correct Answer: B

Rationale: Providing immediate medical care for injuries ensures safety and addresses physical harm, the priority in self-harming behaviors. Ignoring, punishing, or only discussing feelings delays critical intervention.

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