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Questions 160

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Question 1 of 5

Which medication administration technique is best for a 3-month-old infant?

Correct Answer: B

Rationale: A needleless syringe allows precise oral administration, ensuring the infant receives the correct dose without choking or aspiration risks.

Question 2 of 5

The nurse is caring for a client with a history of diverticulitis. Which dietary instruction is most appropriate?

Correct Answer: B

Rationale: Foods with seeds or nuts can irritate diverticula, increasing the risk of flare-ups.

Question 3 of 5

When a schizophrenic client claims to see demons in the room, how should the nurse document the finding?

Correct Answer: C

Rationale: Quoting the client's exact statement provides objective, accurate documentation of the hallucination.

Question 4 of 5

A client with a history of alcoholism is admitted with confusion and tremors. Which medication is the nurse most likely to administer?

Correct Answer: D

Rationale: Thiamine is given to prevent Wernicke's encephalopathy, a complication of chronic alcoholism causing confusion and tremors.

Question 5 of 5

The female client has been diagnosed with genital warts. Which assessment findings should the nurse associate with genital warts?

Correct Answer: C

Rationale: A. Painful vesicles on the labia, perineum, or anus describe the lesions of genital herpes (herpes simplex virus 2). B. Painful ulcerations of the vagina, labia, or perineum describe the lesions of genital herpes (herpes simplex virus 2). C. In females, genital warts appear as painless lesions near the vaginal opening, anus, vagina, or cervix. The lesions are textured, cauliflower appearing, and remain unchanged over time. D. A chancre is associated with syphilis, not genital warts.

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