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Questions 163

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Question 1 of 5

The nurse is talking with the parents of a 7-year-old client with newly diagnosed type 1 diabetes mellitus. Which of the following statements by the parents would indicate effective coping?

Correct Answer: D

Rationale: Aiming for the child's independence in managing diabetes indicates effective coping by focusing on empowerment. Assuming no sports or separate meals is overly restrictive, and vague sacrifices lack specificity.

Question 2 of 5

Which observation in the newborn of a diabetic mother would require immediate nursing intervention?

Correct Answer: C

Rationale: Jitteriness in a newborn of a diabetic mother may indicate hypoglycemia, requiring immediate intervention. Crying, wakefulness, and yawning are normal behaviors, so A, B, and D are incorrect.

Question 3 of 5

A nurse from the float pool is giving medications on a pediatric unit and is to give medications to a 2-year-old child in room 534, bed B. The child in that room does not have an identification band. What is the best action for the nurse to take?

Correct Answer: C

Rationale: Refusing to give medication without proper identification ensures safety, as a 2-year-old cannot reliably confirm identity.

Question 4 of 5

The nurse observes a nursing assistant caring for an 86-year-old woman who had an open reduction/internal fixation for a fractured femur two days ago. Which action by the nursing assistant needs correction by the nurse?

Correct Answer: B

Rationale: Full weight-bearing two days post-femur fixation is inappropriate, risking hardware failure; partial or non-weight-bearing is typical. Abductor pillows, commodes, and self-bathing are appropriate.

Question 5 of 5

Which statement by the parent of a child with sickle cell anemia indicates an understanding of the disease.

Correct Answer: C

Rationale: Extra fluids in summer prevent dehydration, which can trigger sickle cell crises. Pain is due to vaso-occlusion, not excess RBCs; skiing risks hypoxia; siblings have a 25% chance of inheriting the disease.

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