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Extract:


Question 1 of 5

The nurse is teaching a client about the healthy use of ego defense mechanisms. An appropriate goal for this client would be

Correct Answer: A

Rationale: Reduce fear and protect self-esteem. Ego defense mechanisms are unconscious proactive barriers that are used to manage instinct and affect in the presence of stressful situations. Healthy reactions are those in which the client admits that they are feeling various emotions.

Extract:

Most asthmatic attacks respond to Epinephrine (Adrenalin)


Question 2 of 5

Most asthmatic attacks respond to Epinephrine (Adrenalin) and it may be used as a therapeutic agent in the treatment of some allergic conditions because it:

Correct Answer: C

Rationale: Epinephrine dilates bronchi, relieving bronchospasm in asthma and allergic reactions.

Extract:


Question 3 of 5

A newborn is to receive phototherapy for hyperbilirubinemia. Which nursing action is essential?

Correct Answer: D

Rationale: Covering the eyes protects the newborn's retinas from phototherapy light, a critical safety measure.

Question 4 of 5

The nurse is caring for a 10 year-old on admission to the burn unit. One assessment parameter that will indicate that the child has adequate fluid replacement is

Correct Answer: A

Rationale: Urinary output of 30 ml per hour. This indicates adequate fluid replacement without suggesting overload.

Question 5 of 5

An adult is to go to surgery this morning. When the nurse goes to medicate the client, she notes that she has a ring with several shiny stones in it on her left ring finger. There are no relatives present. What is the best nursing action?

Correct Answer: C

Rationale: Securing valuables in the hospital safe protects the ring during surgery, adhering to safety protocols. Taping, bedside storage, or waivers risk loss.

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