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Question 1 of 5

The nurse is caring for a client with left ventricular heart failure. Which one of the following assessments is an early indication of inadequate oxygen transport?

Correct Answer: B

Rationale: Confusion and restlessness. Neurological changes, including impaired mental status, are early signs of inadequate oxygenation.

Question 2 of 5

A young child is admitted for treatment of lead poisoning. The nurse recognizes that the most serious effect of chronic lead poisoning is

Correct Answer: A

Rationale: Central nervous system damage. The most serious consequences of chronic lead poisoning occur in the central nervous system, leading to intellectual deficits or even death.

Question 3 of 5

As part of a routine health screening, the nurse notes the play of a 2-year-old child. Which of the following is an example of age-appropriate play at this age?

Correct Answer: C

Rationale: Saying 'Mine!' reflects the possessive, independent behavior typical of 2-year-olds. The other activities are either too advanced or not age-specific. Health Promotion and Maintenance

Question 4 of 5

A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, 'There must be some mistake in the diagnosis.' The nurse determines that the client is demonstrating which of the following?

Correct Answer: A

Rationale: Denial, per Kübler-Ross's

Question 5 of 5

The most suitable diet for the client with Meniere's disease is:

Correct Answer: B

Rationale: A low sodium diet and nicotinic acid have been shown to be effective in reducing the symptoms of Meniere's disease. Answers A, C, and D are incorrect because they do not relieve the symptoms of Meniere's disease.

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