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Questions 149

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Question 1 of 5

The physician has ordered Dextrose 5% in normal saline for an infant admitted with gastroenteritis. The advantage of administering the infant's IV through a scalp vein is:

Correct Answer: A

Rationale: Scalp veins allow easier access for IV administration in infants, and the site is more accessible for comforting the infant without disturbing the IV line.

Question 2 of 5

The complete blood count of a client admitted with anemia reveals that the red blood cells are hypochromic and microcytic. The nurse recognizes that the client has:

Correct Answer: B

Rationale: Hypochromic, microcytic red blood cells are characteristic of iron-deficiency anemia, caused by insufficient iron for hemoglobin synthesis.

Question 3 of 5

A nurse reviewed a client's progress in smoking cessation, praising the client for being successful but suggesting the client might stop having coffee in the morning since that caused an urge to smoke. Following this session, the client appeared upset and complained that the nurse believed she was doing poorly because she wanted a cigarette with her morning coffee. Which type of cognitive distortion is the client exhibiting?

Correct Answer: B

Rationale: Mental filter (
B) involves focusing only on the negative (nurse's suggestion) and ignoring praise, leading to the client's misinterpretation.

Question 4 of 5

The nurse is assessing a client who is 36 hours postpartum. Which of the following findings would indicate a need for further evaluation?

Correct Answer: D

Rationale: a temperature of 100.4°F may indicate infection, such as endometritis, and requires further evaluation

Question 5 of 5

When administering a tuberculin skin test, the nurse should insert the needle at a:

Correct Answer: A

Rationale: A 15° angle is used for intradermal injections like the tuberculin skin test to ensure proper placement in the dermis.

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