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Questions 158

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Question 1 of 5

The nurse is observing a student gauss administering ear drops to a two-year-old. Which observation by the nurse would indicate correct technique?

Correct Answer: C

Rationale: Pulling the pinna down and back in children straightens the ear canal for proper ear drop administration. Head extension (
A), chin-tuck (
B), and irrigation (
D) are incorrect.

Question 2 of 5

A 17-year-old client has a T-4 spinal cord injury. At present, he is learning to catheterize himself. When he says, 'This is too much trouble. I would rather just have a Foley.' An appropriate response for the RN teaching him would be:

Correct Answer: A

Rationale: This response validates the client's feelings, provides education on reduced infection risk with intermittent catheterization, and encourages autonomy.

Question 3 of 5

The nurse is caring for a client with B-thalassemia major. Which therapy is used to treat B-thalassemia major?

Correct Answer: B

Rationale: B-thalassemia major causes severe anemia due to defective hemoglobin synthesis, requiring frequent blood transfusions to maintain hemoglobin levels. IV fluids, oxygen, and iron therapy (which can cause overload) are not primary treatments.

Question 4 of 5

A client is admitted with suspected Hodgkin's lymphoma. The diagnosis is confirmed by the:

Correct Answer: B

Rationale: Hodgkin's lymphoma is diagnosed by the presence of Reed-Sternberg cells in lymph node biopsy, a hallmark of the disease.

Question 5 of 5

Which of the following is an expected finding in the assessment of a client with bulimia nervosa?

Correct Answer: C

Rationale: Bulimia nervosa involves recurrent binge eating followed by purging, often through vomiting, which exposes teeth to stomach acid, leading to enamel erosion. Extreme weight loss and lanugo are more characteristic of anorexia nervosa, and muscle wasting is not a primary feature of bulimia.

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