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Questions 164

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Question 1 of 5

Which of the following conditions is most likely related to the development of renal calculi?

Correct Answer: A

Rationale: Gout increases uric acid levels, which can lead to uric acid kidney stones, a common type of renal calculi.

Question 2 of 5

A client recovering at home following a left total knee replacement 7 days ago is using a cane to go up and down the stairs under the supervision of the home health nurse. Which client action indicates a need for reinforcement of teaching?

Correct Answer: D

Rationale: Placing full weight on the surgical leg when going down stairs risks injury and instability. The client should lead with the cane and unaffected leg, using the surgical leg cautiously.

Question 3 of 5

The nurse in a long-term care facility observes a nursing assistant caring for a resident who has a hearing aid and dentures. Which action by the nursing assistant should be corrected?

Correct Answer: C

Rationale: The exterior of a hearing aid should be wiped regularly with a damp cloth. Alcohol should not be used as it can damage the device. The nursing assistant should place a washcloth in the sink before brushing dentures to protect them if dropped.
Toothpaste is appropriate to clean dentures.

Question 4 of 5

The nurse is contributing to the plan of care for an 8-year-old client with autism spectrum disorder. Which of the following interventions should the nurse suggest including in the client's plan of care? Select all that apply.

Correct Answer: A,B,C,D

Rationale: Consistency in schedule (
A), parental presence (
B), familiar staff (
C), and a private room with familiar items (
D) reduce anxiety in children with autism. Therapeutic touch (E) may be distressing due to sensory sensitivities.

Question 5 of 5

An adult who has hepatitis A asks the nurse why her skin is yellow. The nurse should include which information when replying?

Correct Answer: A

Rationale: Hepatitis A impairs liver function, reducing bilirubin conjugation and excretion, leading to its accumulation in the blood, causing jaundice. The virus does not produce pigment, nor does the liver overproduce bilirubin or excrete waste through skin.

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