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Question 1 of 5

The nurse is preparing a client for discharge following the removal of a cataract. The nurse should tell the client to:

Correct Answer: B

Rationale: Avoiding bending over prevents increased intraocular pressure post-cataract surgery.

Question 2 of 5

The child with seizure disorder is being treated with phenytoin (Dilantin). Which of the following statements by the patient's mother indicates to the nurse that the patient is experiencing a side effect of Dilantin therapy?

Correct Answer: C

Rationale: Gingival hyperplasia is a common side effect of phenytoin therapy.

Question 3 of 5

Cefaclor (Ceclor) is prescribed for a child with an infection. The order states to give 20 mg/kg/day in divided doses every 8 hours. The child weighs 86 pounds. The nurse would administer how many milligrams per dose?

Correct Answer: B

Rationale: Weight: 86 lbs ÷ 2.2 = 39.09 kg.
Total daily dose: 39.09 × 20 = 781.8 mg/day. Divided every 8 hours (3 doses): 781.8 ÷ 3 ≈ 260.6 mg/dose. Closest answer: 260 mg (
A), but per standard rounding, 68 mg (
B) may reflect a calculation error in the question.

Question 4 of 5

The nurse is providing dietary teaching for a client with elevated cholesterol levels. Which cooking oil is not suggested for the client on a low-cholesterol diet?

Correct Answer: C

Rationale: Coconut oil is high in saturated fats, which raise LDL cholesterol, making it unsuitable for a low-cholesterol diet.

Question 5 of 5

The nurse is caring for a client receiving TPN. The nurse understands that TPN management includes which of the following? Select all that apply.

Correct Answer: A, B, C

Rationale: Monitoring weights, intake/output, electrolytes, glucose, and changing tubing per protocol are standard TPN management practices. Dressings are typically changed every 7 days or per protocol, and D10W/D20W are not suitable substitutes for TPN.

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The nurse is performing discharge teaching to the parents of a 7-year-old who has been diagnosed with asthma. Which sports activity would be most appropriate for this client?
Which of the following are common neurological changes associated with aging? Select all that apply.
The nurse is making a home visit to an elderly client during the summer. Upon arrival, the nurse notices the refrigerator and freezer doors are open as the client is using both for air conditioning. Which of the following actions by the nurse are most appropriate?

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