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Questions 164

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Question 1 of 5

The orthopedic health care provider instructs a client with a fractured right femur, who has been non-weight bearing for the past 5 weeks, to progress to full-weight bearing on the right leg. Which advanced crutch gait that most closely resembles normal walking should the nurse reinforce when teaching the client?

Correct Answer: A

Rationale: The 2-point gait mimics normal walking, alternating crutch and opposite leg, suitable for full-weight bearing. 3-point is for non-weight bearing, 4-point is slower, and 5-point does not exist.

Question 2 of 5

The nurse in the long-term care facility discovers a client with dementia wandering in the hallway during the night. Which of the following statements would be most appropriate for the nurse to make?

Correct Answer: C

Rationale: Orienting the client and gently redirecting them to their room is calming and safe. Questioning, warning, or instructing may confuse or agitate a client with dementia.

Question 3 of 5

The nurse knows that the mother understands the dietary instructions for her toddler who has iron deficiency anemia when the mother selects which foods?

Correct Answer: B

Rationale: Ground beef and broccoli are iron-rich, and orange juice (vitamin
C) enhances iron absorption, ideal for iron deficiency anemia. Milk-heavy diets can inhibit iron absorption.

Question 4 of 5

A client has a serum glucose of 385 mg/dl. Which of these orders would the nurse question first?

Correct Answer: C

Rationale: Regular insulin is the only insulin that can be given by the intravenous route. Humulin N is not suitable for IV administration, making this the priority order to question.

Question 5 of 5

Which type of accidental poisoning would the nurse expect to occur in children under age 6?

Correct Answer: A

Rationale: Oral ingestion. Young children are most likely to ingest toxic substances due to their exploratory behavior.

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