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Question 1 of 5

The nurse is caring for a 16-year-old pregnant client who is taking an iron supplement. Which instruction should the nurse include when teaching the adolescent about ferrous sulfate? Select all that apply:

Correct Answer: C,D,E

Rationale: Because food delays absorption, the nurse should instruct the client to take the supplement between meals to increase absorption. The client should take the supplement with juice (preferably orange juice) or water, but not with milk or antacids. The nurse should also tell the client not to crush or chew extended-release forms of the drug.

Question 2 of 5

The nurse is assessing a child admitted who has a fractured humerus. The family says the child fell. Which piece of information would cause the nurse to suspect child abuse?

Correct Answer: C

Rationale: Small round burns suggest cigarette burns, a specific sign of abuse. Frequent ER visits or bruising are concerning but less definitive; hand-holding is normal.

Question 3 of 5

While obtaining a health history, the nurse learns that the client is allergic to bee stings. When obtaining this client's medication history, the nurse should determine if the client keeps which medication on hand?

Correct Answer: A

Rationale: A client who is allergic to bee stings should keep diphenhydramine on hand because its antihistamine action can prevent a severe allergic reaction. Pseudoephedrine is a decongestant, which is used to treat cold symptoms. Guaifenesin is an expectorant, which is used for coughs. Loperamide is an antidiarrheal agent.

Question 4 of 5

A nurse is assessing a patient who has been receiving morphine for pain management. Which of the following findings indicates a need for immediate intervention?

Correct Answer: C

Rationale: A respiratory rate of 10 breaths per minute indicates respiratory depression, a life-threatening side effect of morphine, requiring immediate intervention (e.g., naloxone). Drowsiness, constipation, and nausea are expected but less urgent.

Question 5 of 5

The nurse is working with a person who was just diagnosed with diabetes mellitus Type 2. What should the nurse teach the client first?

Correct Answer: B

Rationale: Dietary management is foundational for Type 2 diabetes control, often sufficient initially. Insulin may not be needed, and symptoms/complications are secondary.

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