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Questions 227

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Extract:


Question 1 of 5

The parents of a 7 year-old tell the nurse their child has started to 'tattle' on siblings. In interpreting this new behavior, how should the nurse explain the child's actions to the parents?

Correct Answer: A

Rationale: The ethical sense and feelings of justice are developing. At age 7, children develop a sense of justice and fairness.

Extract:

Immunity by antibody formation during the course of a disease is:


Question 2 of 5

Active natural immunity.

Correct Answer: A

Rationale: In active natural immunity, the infected person's immune system responds to the invading organism by producing antibodies specific for the invader.

Extract:


Question 3 of 5

The nurse is caring for a client with a history of seizures who is prescribed phenytoin (Dilantin). Which of the following side effects should the nurse monitor for?

Correct Answer: B

Rationale: Phenytoin commonly causes gingival hyperplasia, requiring oral hygiene monitoring. Weight gain (
A), hypoglycemia (
C), and hair loss (
D) are not typical side effects of phenytoin.

Extract:

Which of the following types of diet is implicated in the development of diverticulosis?


Question 4 of 5

Which of the following types of diet is implicated in the development of diverticulosis?

Correct Answer: A

Rationale: A low-fiber diet increases colon pressure, contributing to diverticulosis formation.

Extract:


Question 5 of 5

An 8-year-old boy has just had a fiberglass cast applied to his right lower leg following a fractured ankle. The nurse is discussing care of the cast with the parents. Which instruction should be included?

Correct Answer: B

Rationale: Checking toes for warmth ensures circulation, detecting complications like compartment syndrome early. Bathing, drying time, and leg position are incorrect for fiberglass casts.

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