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Question 1 of 5

The nurse is reinforcing teaching for a client with bipolar disorder who has a new prescription for lithium. Which of the following statements by the client would require follow-up?

Correct Answer: B

Rationale: Ibuprofen (
B) can increase lithium toxicity, requiring follow-up. Adequate fluid intake (
A), consistent sodium (
C), and periodic level checks (
D) are correct.

Question 2 of 5

What would the nurse expect to see while assessing the growth of children during their school age years?

Correct Answer: D

Rationale: School age children gain about 5.5 pounds each year and increase about 2 inches in height.

Question 3 of 5

The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse reinforce with the caregivers before they leave the clinic?

Correct Answer: C

Rationale: Redness and mild fever (
C) are common post-immunization reactions. A temperature above 100 F (
A) is too low a threshold for concern, fussiness for a week (
B) is excessive, and activity restriction (
D) is unnecessary.

Question 4 of 5

The nurse in a long-term care facility is caring for a client with major depressive disorder who is reporting difficulty sleeping. The client gets up during the night, paces the hallway, wrings the hands, and appears teary. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, D, E, F

Rationale: Natural sunlight exposure (
A) helps regulate circadian rhythms and improve mood. Warm milk (
D) contains tryptophan, which promotes sleep. A quiet environment (E) and soft music (F) reduce stimulation and promote relaxation. Naps (
B) may disrupt nighttime sleep, and exercise before bedtime (
C) can be stimulating.

Question 5 of 5

The nurse is reinforcing medication instructions for the parents of a child prescribed amoxicillin/clavulanate (liquid) twice a day for acute sinusitis. Which instructions are most important for the parents to remember? Select all that apply.

Correct Answer: A, B, D

Rationale: Taking with food (
A) reduces GI upset, completing the course (
B) prevents resistance, and shaking well (
D) ensures proper dosing. Rash (
C) is not normal and requires evaluation, and household spoons (E) are inaccurate.

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Postoperative orders for a client undergoing a mitral valve replacement include monitoring pulmonary artery pressure together with pulmonary capillary wedge pressure with a pulmonary artery catheter. The purpose of these actions by the nurse is to assess

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