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Questions 176

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Question 1 of 5

The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicate a correct understanding? Select all that apply.

Correct Answer: B, D, E

Rationale: Checking toes (
B), weekly casts (
D), and keeping the cast dry (E) are correct. Cradling (
A) is safe, and alternating sleep positions (
C) is not cast-related.

Question 2 of 5

When giving an intramuscular injection to an infant. Which of the following sites is preferred?

Correct Answer: C

Rationale: Vastus lateralis is the ideal choice for infants.

Question 3 of 5

The nurse is caring for a client who has a Clostridioides difficile infection. Which of the following infection control precautions should the nurse implement? Select all that apply.

Correct Answer: B, D

Rationale: A private room (
B) and protective gown (
D) are required for contact precautions. Sterile gloves (
A) are unnecessary, alcohol-based sanitizer (
C) is ineffective against C. difficile spores, and surgical masks (E) are not required.

Question 4 of 5

The nurse reviews the ECG of a client. Which prescribed medication should the nurse suspect as the cause of the ECG findings?

Question Image

Correct Answer: D

Rationale: Levothyroxine (
D) can cause arrhythmias, which may be reflected in ECG changes. Captopril (
A), Carvedilol (
B), and Glipizide (
C) are less likely to cause significant ECG alterations.

Question 5 of 5

The nurse is caring for a hospitalized client. Which is the best example of narrative documentation to provide legal malpractice protection for the nurse after an adverse event?

Correct Answer: C

Rationale: Detailed, objective documentation (
C) with times, actions, and follow-up plans provides the best legal protection. Options A, B, and D include assumptions, vague details, or irrelevant information.

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