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Questions 148

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Question 1 of 5

The primary cause of anemia in a client with chronic renal failure is:

Correct Answer: D

Rationale: Chronic renal failure reduces erythropoietin production by the kidneys, leading to decreased red blood cell production and anemia.

Question 2 of 5

An 18-month-old is being discharged following hypospadias repair. Which instruction should be included in the nurse's discharge teaching?

Correct Answer: A

Rationale: Avoiding straddling activities like rocking horses prevents strain on the surgical site post-hypospadias repair.

Question 3 of 5

A client is taking nebulizer treatments for asthma, and the nurse is instructing the client in the correct method for measuring peak expiratory flow rates (PEFR) after treatment. The nurse prepares the meter with the indicator at the base of the scale. Place the following steps (Roman numerals) in the correct order from first to last.

Order the Items

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Client sits upright or stands.
Client places the meter in the mouth and seals lips.
Client expels air through the meter as forcefully as possible.
Client takes a deep breath.

Correct Answer: A,D,B,C

Rationale: PEFR sequence: Sit/stand (I), take deep breath (IV), place meter in mouth (II), expel air forcefully (III).

Question 4 of 5

A 5-year-old client with hyperthyroidism is admitted to the pediatric unit. What would the nurse expect the admitting assessment to reveal?

Correct Answer: C

Rationale: Exophthalmos (bulging eyes) is a common sign of hyperthyroidism due to thyroid hormone effects on orbital tissues.

Question 5 of 5

The nurse is assessing a client with suspected glomerulonephritis. Which of the following findings would the nurse expect?

Correct Answer: B

Rationale: hematuria and proteinuria are hallmark signs of glomerulonephritis due to glomerular damage

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