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Questions 164

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Question 1 of 5

The parents of a 2-year-old client ask how they can help their child cope with hospitalization. Which of the following suggestions should the nurse give the parents? Select all that apply.

Correct Answer: A,C,E

Rationale: Maintaining home routines, parental presence, and reassuring the child about the cause of illness help reduce anxiety and promote coping during hospitalization.

Question 2 of 5

The nurse is caring for a 75 year old client in congestive heart failure. Which finding suggests that digitalis levels should be reviewed?

Correct Answer: A

Rationale: Extreme fatigue. Extreme fatigue and weakness are common, early signs of digitalis toxicity, which would be confirmed by a high blood serum level of digitalis.

Question 3 of 5

The nurse is conducting intake interviews at the clinic. Which client situations would require the nurse to intervene? Select all that apply.

Correct Answer: A,D,E

Rationale: Milk reduces iron absorption, metronidazole with alcohol can cause severe reactions, and diphenhydramine can worsen closed-angle glaucoma.

Question 4 of 5

Which statement by the client with chronic obstructive lung disease indicates an understanding of the major reason for the use of occasional pursed-lip breathing

Correct Answer: D

Rationale: Clients with chronic obstructive pulmonary disease have difficulty exhaling fully as a result of weak alveolar walls. Alveolar collapse can be avoided with the use of pursed-lip breathing.

Question 5 of 5

A nurse is preparing for a medical relief trip to West Africa and is concerned about a disruption in circadian rhythm from traveling across several time zones. Which supplement might help synchronize the body to environmental time?

Correct Answer: C

Rationale: Melatonin helps regulate sleep-wake cycles and can mitigate jet lag.

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