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Question 1 of 5

Which of the following age-related changes affect the vision of the elderly client?

Correct Answer: B, C, E

Rationale: Age-related vision changes include decreased lens elasticity (
B), lens discoloration (
C), and enophthalmos (E). Pupil dilation decreases (
A), and eye mobility is unaffected (
D).

Question 2 of 5

A four-year-old with cystic fibrosis has a prescription for Creon (pancrelipase). The medication is given to:

Correct Answer: C

Rationale: Creon (pancrelipase) replaces pancreatic enzymes in cystic fibrosis patients, aiding digestion of fats, proteins, and carbohydrates. It does not affect respiratory secretions, clotting, or nasal polyps.

Question 3 of 5

The nurse is caring for a client with a history of asthma. Which medication should the nurse anticipate being ordered for an acute asthma attack?

Correct Answer: A

Rationale: Albuterol, a short-acting beta-agonist, is the first-line treatment for acute asthma attacks, providing rapid bronchodilation. Prednisone is for long-term control, theophylline is less commonly used, and montelukast is for maintenance therapy.

Question 4 of 5

The nurse is assessing a client with suspected hypercalcemia. Which finding is most consistent with this condition?

Correct Answer: B

Rationale: Hypercalcemia causes constipation due to reduced gastrointestinal motility. Muscle weakness, hypotension, and bradypnea are more common than hypertension or tachypnea.

Question 5 of 5

The nurse is caring for a 2-year-old girl with a subdural hematoma of the temporal area as a result of falling out of bed and notices that she has a runny nose. The nurse should:

Correct Answer: C

Rationale: The nasal discharge could be due to a cold. It is necessary to gather additional assessment data to identify a possible cerebrospinal fluid leak. If the discharge is cerebrospinal fluid, it would not be safe to encourage the girl to blow her nose. Cerebrospinal fluid is positive for sugar; mucus is not. Turning her to her side will have no effect on her 'runny nose.' It is necessary to gather further assessment data.

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A mother who is breast-feeding her newborn asks the RN, 'How can I express milk from my breasts manually?' The RN tells her that the correct method for manual milk expression includes using the thumb and the index finger to:
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