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Questions 158

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Question 1 of 5

To prevent deformities of the knee joints in a client with an exacerbation of rheumatoid arthritis, the nurse should:

Correct Answer: C

Rationale: Encouraging joint motion within pain limits prevents stiffness and deformities in rheumatoid arthritis. Bed rest, discouraging motion, or prolonged immobilization can worsen contractures.

Question 2 of 5

Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?

Correct Answer: B

Rationale: Four-year-olds are at greatest risk for accidental poisoning due to their curiosity, increased mobility, and ability to access household items, combined with limited understanding of danger. One-year-olds have less mobility, while eight- and twelve-year-olds have better cognitive awareness to avoid hazards.

Question 3 of 5

A client is diagnosed with organic brain disorder. The nursing care should include:

Correct Answer: A

Rationale: An organized, safe environment minimizes confusion and ensures safety for clients with organic brain disorders.

Question 4 of 5

The nurse is caring for a client with a history of a mastectomy. The client complains of arm swelling. The nurse should:

Correct Answer: B

Rationale: Arm swelling post-mastectomy suggests lymphedema, and elevating the arm reduces fluid accumulation. Warm compresses and massage may worsen swelling, and notification is secondary.

Question 5 of 5

The client is prescribed ciprofloxacin (Cipro) for a urinary tract infection. Which instruction should the nurse include?

Correct Answer: B

Rationale: Ciprofloxacin can cause photosensitivity, so avoiding sun exposure prevents skin reactions. Dairy products reduce absorption, and the full course must be completed, regardless of symptoms.

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