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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client with dementia who has pulled out three peripheral IVs. Which intervention by the nurse is the best way to manage this client?

Correct Answer: C

Rationale: Wrapping the IV in gauze hides it from view, reducing the likelihood of the client pulling it out, while being less invasive than restraints or threats.

Question 2 of 5

The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely related to:

Correct Answer: B

Rationale: Hormonal changes, particularly estrogen loss post-menopause, are the primary cause of osteoporosis in women.

Question 3 of 5

Vitamin K is administered to the newborn shortly after birth for which of the following reasons?

Correct Answer: D

Rationale: Vitamin K is given to newborns to facilitate clotting, preventing hemorrhagic disease due to low vitamin K levels.

Question 4 of 5

A 3-year-old child had a PPD skin test 2 days ago. When the mother brings the child back to the clinic to have the nurse check the results, the nurse notes a 10 mm area of induration. This is considered

Correct Answer: B

Rationale: A 10 mm induration 48-72 hours post-PPD is positive in children, indicating TB exposure, especially in high-risk groups.

Question 5 of 5

The nurse is caring for a client with dementia who has pulled out three peripheral IVs. Which intervention by the nurse is the best way to manage this client?

Correct Answer: C

Rationale: Wrapping the IV in gauze hides it from view, reducing the likelihood of the client pulling it out, while being less invasive than restraints or threats.

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