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Questions 149

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Question 1 of 5

The physician has discussed the need for medication with the parents of an infant with congenital hypothyroidism. The nurse can reinforce the physician's teaching by telling the parents that:

Correct Answer: B

Rationale: Congenital hypothyroidism requires lifelong thyroid hormone replacement therapy to maintain normal metabolism and development.

Question 2 of 5

The Joint Commission for Accreditation of Hospital Organizations (JCAHO) specifies that two client identifiers are to be used before administering medication. Which method is best for identifying patients using two patient identifiers?

Correct Answer: A

Rationale: Comparing the MAR with the client's armband name and medical number ensures accurate identification using two reliable identifiers.

Question 3 of 5

The charge nurse considers both patient-related and staff-related factors when making daily assignments. All of the following are patient-related factors EXCEPT

Correct Answer: D

Rationale: Nurse-to-client ratio is a staff-related factor, affecting workload distribution. Ventilation, medications, and isolation are patient-specific needs.

Question 4 of 5

A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

Correct Answer: A

Rationale: Currant jelly stools, caused by blood and mucus, are a hallmark of intussusception due to intestinal obstruction.

Question 5 of 5

A client diagnosed with Alzheimer's disease initiates the same conversation repeatedly, becomes aggressive when stressed, needs reminders to perform ADLs, and is easily lost in his neighborhood. This client is likely in what stage of Alzheimer's disease?

Correct Answer: C

Rationale: Moderate Alzheimer's involves repetitive behaviors, aggression, ADL dependence, and disorientation, as described, indicating significant cognitive decline.

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