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Questions 164

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Question 1 of 5

The pediatric nurse cares for a 16-year-old client who is scheduled for an appendectomy in the morning. Which of the following interventions are appropriate to support the client's psychosocial needs?

Correct Answer: B,D,E

Rationale: Peer visits (
B), active participation (
D), and addressing body image (E) support a teen's psychosocial needs. Strict schedules (
A) reduce autonomy, and parental presence (
C) may not align with the teen's preferences.

Question 2 of 5

While performing an initial assessment on a newborn following a breech delivery, the nurse suspects hip dislocation. Which of the following is most suggestive of the abnormality?

Correct Answer: D

Rationale: Irregular hip symmetry. Early assessment of irregular hip symmetry alerts the nurse and the provider to a correctable congenital hip dislocation.

Question 3 of 5

Before giving furosemide (Lasix) to an adult, the nurse checks the laboratory report for the last serum potassium level. Which finding would be of concern to the nurse?

Correct Answer: A

Rationale: A potassium level of 3.2 mEq/L is low, concerning with furosemide, which can further deplete potassium, risking arrhythmias.

Question 4 of 5

The school nurse observes a 7-year-old client with attention deficit hyperactivity disorder begin to throw books and attempt to hit the classmates. Which of the following actions would be a priority for the nurse to take?

Correct Answer: C

Rationale: Removing the client to a quiet room (
C) ensures safety and de-escalates the situation. Balloon blowing (
A) is inappropriate, PRN methylphenidate (
B) is not typically ordered, and consequences (
D) are secondary.

Question 5 of 5

The nurse cares for a client diagnosed with Addison disease. Which clinical finding would the nurse anticipate?

Correct Answer: D

Rationale: Addison disease causes weight loss (
D) due to cortisol deficiency. Acanthosis nigricans (
A), hirsutism (
B), and truncal obesity (
C) are associated with other endocrine disorders.

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