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Questions 210

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Question 1 of 5

The parents of a 4 year-old hospitalized child tell the nurse, 'We are leaving now and will be back at 6 PM.' A few hours later the child asks the nurse when the parents will come again. What is the best response by the nurse?

Correct Answer: A

Rationale: Time is not completely understood by a 4 year-old. Preschoolers interpret time with their own frame of reference. Thus, it is best to explain time in relationship to a known, common event.

Question 2 of 5

The nurse monitors a client who has followed a vegan diet for several years. Which client statement would indicate a possible complication resulting from a vegan diet?

Correct Answer: A

Rationale: Night vision disturbances suggest vitamin A deficiency, common in vegan diets lacking sufficient beta-carotene sources. Insomnia, scaly skin, and tingling are less specific to vegan diet complications, potentially relating to other causes like stress or neuropathy.

Question 3 of 5

Social support systems include all of the following except:

Correct Answer: D

Rationale: Coping skills and verbalization are personal strategies, not social support systems, which involve external resources like help lines, emotional assistance, or groups. Psychosocial Integrity

Question 4 of 5

The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:

Correct Answer: B

Rationale: The neck veins should be assessed for distension in the client with congestive heart failure. Edema of the feet and hands does not indicate central circulatory overload, so answers A and C are incorrect. Edema of the sacrum is an indication of right-sided congestive heart failure, so answer D is incorrect.

Question 5 of 5

Someone who has received a recent tattoo should be screened for:

Correct Answer: C

Rationale: Tattooing with non-sterile equipment risks transmission of hepatitis B or C, blood-borne pathogens. The other infections are not primarily associated with tattooing. Safety and Infection Control

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