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Question 1 of 5

The nurse observes a client who is walking with a cane. Which observation indicates that the client is walking appropriately?

Correct Answer: C

Rationale: Holding the cane on the unaffected side and moving it with the affected leg provides optimal support and balance, coordinating strength with the weaker side.

Question 2 of 5

The nurse has taught the parent of a pediatric client who will be receiving growth hormone replacement therapy. Which of the following statements by the parent would require follow-up?

Correct Answer: B

Rationale: Expecting equal height to peers (
B) is unrealistic, as outcomes vary. Bedtime dosing (
A), discontinuation at bone closure (
C), and x-rays (
D) are correct.

Question 3 of 5

What is the most important aspect to include when developing a home care plan for a client with severe arthritis?

Correct Answer: A

Rationale: Maintaining and preserving function. Preserving joint function is critical for quality of life in arthritis.

Question 4 of 5

The wife of a 65 -year-old man says to the clinic nurse, 'I think the doctor should check out my husband's hearing. Either he is totally ignoring me and everyone else or he has a hearing problem.' How is the man likely to respond when the nurse asks him if he has difficulty hearing?

Correct Answer: B

Rationale: People who are losing their hearing usually complain that the people around them mutter. Denial is a very common response to hearing loss. Most older people who are having difficulties with hearing wait years before they will admit to hearing loss and accept treatment. Most older people who are losing their hearing hear lower frequencies (men's voices) better than higher frequencies (women's voices). Answer 4 not only indicates denial, but it also suggests that the client is in despair as opposed to ego integrity.

Question 5 of 5

The nurse is reinforcing discharge instructions for several clients. Which client should receive information about the need for prophylactic antibiotics prior to dental procedures?

Correct Answer: A

Rationale: Mechanical valve replacements (
A) require prophylactic antibiotics before dental procedures to prevent endocarditis. Mitral valvuloplasty (
B), heart failure (
C), and mitral valve prolapse with regurgitation (
D) have lower risks.

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