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Questions 149

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Question 1 of 5

When caring for the child with autistic disorder, the nurse should:

Correct Answer: B

Rationale: A consistent caregiver provides stability and reduces anxiety in a child with autism.

Question 2 of 5

The nurse is reviewing a client's PRN pain medications. There is an order for acetaminophen 1,000 mg PO q4 hours as needed for pain. How should the nurse proceed?

Correct Answer: B

Rationale: Acetaminophen 1,000 mg q4 hours PRN is within safe dosing (max 4,000 mg/day), so it can be administered as ordered.

Question 3 of 5

During a pre-op assessment, the nurse would chart which finding(s) as subjective data? Select all that apply.

Correct Answer: B,C,E

Rationale: Subjective data are client-reported, including statements about surgery concerns, weight loss, and pain ratings. Sweating/wringing hands and blood pressure are objective (observable/measurable).

Question 4 of 5

A client with bipolar disorder is taking lithium to control symptoms. Which of the following statements indicates the need for further education?

Correct Answer: B

Rationale: Lithium requires ongoing monitoring (B is incorrect), as levels and side effects need regular checks. Thyroid tests (
A), avoiding ibuprofen (
C), and hydration (
D) are correct.

Question 5 of 5

A 20-year-old male has recently been diagnosed with schizophrenia. The nurse knows which of the following are classic signs and symptoms of this disorder? Select all that apply.

Correct Answer: A,C,D

Rationale: Schizophrenia symptoms include social withdrawal, auditory hallucinations, and disorganized speech. Agitation may occur but is less specific, and obsession with hygiene is not typical.

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