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Questions 149

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Question 1 of 5

When the nurse detects that a client is using defense mechanisms, the nurse should make which of these interpretations of the client's behavior?

Correct Answer: A

Rationale: Defense mechanisms are unconscious strategies used to cope with stress and maintain emotional balance, helping the client restore equilibrium.

Question 2 of 5

The nurse on the pediatric unit is preparing to administer acetaminophen according to weight to the 6-year-old diagnosed with chicken pox. The recommended dose is 15 mg per kilogram. How many milligrams should the nurse give if the child weighs 54 lb?

Correct Answer: 368 mg

Rationale: Convert 54 lb to kg: 54 ÷ 2.2 = 24.55 kg. Calculate dose: 15 mg/kg × 24.55 kg = 368.25 mg, rounded to 368 mg.

Question 3 of 5

The adolescent diagnosed with hepatitis is reporting pruritus. Which therapy should the nurse suggest?

Correct Answer: C

Rationale: Cool, moist compresses relieve pruritus in hepatitis by soothing the skin without causing irritation.

Question 4 of 5

While a client is taking chlorpromazine (Thorazine), he should be observed for which of these symptoms?

Correct Answer: A

Rationale: Pseudoparkinsonism is a common side effect of chlorpromazine due to its effect on dopamine receptors, mimicking Parkinson's symptoms.

Question 5 of 5

A woman is being treated for severe depression. During the acute phase of her illness, which of these measures should have priority in her care?

Correct Answer: D

Rationale: Physical care, such as ensuring nutrition and hygiene, is the priority in severe depression to maintain health when the client cannot.

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