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Questions 148

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Question 1 of 5

The nurse is preparing to administer an injection to a 6-month-old when she notices a white dot in the infant's right pupil. The nurse should:

Correct Answer: A

Rationale: A white dot in the pupil (leukocoria) may indicate retinoblastoma or cataracts, requiring immediate reporting to the physician for further evaluation.

Question 2 of 5

A child is to receive heparin sodium 5 units per kilogram of body weight by subcutaneous route every 4 hours. The child weighs 52.8 lb. How many units should the child receive in a 24-hour period?

Correct Answer: C

Rationale: Weight: 52.8 lb ÷ 2.2 = 24 kg. Dose: 5 units/kg × 24 kg = 120 units every 4 hours. 24 hours ÷ 4 = 6 doses/day. 120 × 6 = 720 units/day.

Question 3 of 5

A 5-year-old client with hyperthyroidism is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: Exophthalmos (bulging eyes) is a common sign of hyperthyroidism due to thyroid hormone effects on orbital tissues.

Question 4 of 5

All of the following are modifiable risk factors for coronary artery disease (CAD) EXCEPT

Correct Answer: D

Rationale: Family history is a non-modifiable risk factor for CAD. Stress, obesity, and smoking can be modified through lifestyle changes.

Question 5 of 5

A client who is postmenopausal asks the nurse how to prevent osteoporosis. Which statement should the nurse make to the client?

Correct Answer: C

Rationale: Weight-bearing exercises and hormone therapy (if prescribed) are evidence-based methods to prevent osteoporosis, unlike the other options.

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