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Question 1 of 5

Which of the following should be included in discharge teaching for a client with hepatitis C?

Correct Answer: C

Rationale: Alcohol should be avoided as it is detoxified by the liver, which is compromised in hepatitis C. Aspirin is hepatotoxic, blood donation is not allowed, and hepatitis C is not spread orally.

Question 2 of 5

The nurse would need to monitor the serum glucose levels of a client receiving which of the following medications, owing to its effects on glycogenolysis and insulin release?

Correct Answer: D

Rationale: Norepinephrine's side effects are primarily related to safe, effective care environment and include decreased peripheral perfusion and bradycardia. Dobutamine's side effects include increased heart rate and blood pressure, ventricular ectopy, nausea, and headache. Propranolol's side effects include elevated blood urea nitrogen, serum transaminase, alkaline phosphatase, and lactic dehydrogenase. Epinephrine increases serum glucose levels by increasing glycogenolysis and inhibiting insulin release. Prolonged use can elevate serum lactate levels, leading to metabolic acidosis, increased urinary catecholamines, false elevation of blood urea nitrogen, and decreased coagulation time.

Question 3 of 5

Which method of transmission would most likely result in contamination with botulism?

Question Image

Correct Answer: B, D

Rationale: Botulism is caused by Clostridium botulinum toxin, typically from contaminated food (e.g., perforated cans,
B) or wound contamination (
D). It is not transmitted person-to-person (
A), via mosquitoes (
C), goat saliva (E), or cat litter dust (F).

Question 4 of 5

The school nurse is assessing an elementary student with hemophilia who fell during recess. Which symptoms indicate hemarthrosis?

Correct Answer: D

Rationale: Hemarthrosis in hemophilia involves bleeding into joints, causing stiffness, aching, and decreased movement due to joint swelling and pain.

Question 5 of 5

Which meal selection is most appropriate for a patient with iron deficiency anemia?

Correct Answer: C

Rationale: Spinach and kale are rich in iron ,which is essential for correcting iron deficiency anemia. The other meal options do not contain significant iron-rich foods making them less appropriate for this condition.

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