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Questions 149

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Question 1 of 5

The nurse is providing discharge instructions to the parents of a 6-month-old child with surgical repair for cryptorchidism. Which instruction would NOT be stressed?

Correct Answer: B

Rationale: Bed rest for 2-3 days is not typically required for cryptorchidism repair in infants, as recovery is quicker. Other instructions are critical for monitoring and safety.

Question 2 of 5

The nurse is caring for a 6-year-old client admitted with the diagnosis of conjunctivitis. Before administering eyedrops, the nurse should recognize that it is essential to consider which of the following?

Correct Answer: A

Rationale: Cleansing the eye removes exudate, ensuring effective administration of eyedrops for conjunctivitis.

Question 3 of 5

The nurse in the ER has received report of four clients en route to the emergency department. Which client should the nurse see first? A client with:

Correct Answer: A

Rationale: Third-degree burns to the face and neck with singed nasal hairs suggest airway burns, a life-threatening condition requiring immediate airway assessment and management.

Question 4 of 5

A client with sickle cell anemia is admitted to the labor and delivery unit during the first phase of labor. The nurse should anticipate the client's need for:

Correct Answer: A

Rationale: Sickle cell anemia increases oxygen demand during labor, often requiring supplemental oxygen.

Question 5 of 5

A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?

Correct Answer: A

Rationale: Self-harm indicates a safety risk, requiring parental notification to ensure the student receives appropriate intervention.

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