A client was re-admitted to the hospital following a recent skull fracture. Which finding requires the nurse's immediate attention?

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Question 1 of 5

A client was re-admitted to the hospital following a recent skull fracture. Which finding requires the nurse's immediate attention?

Correct Answer: A

Rationale: Lethargy may indicate rising intracranial pressure, a critical complication.

Question 2 of 5

A mother brings her 26 month-old to the well-child clinic. She expresses frustration and anger due to her child's constantly saying 'no' and his refusal to follow her directions. The nurse explains this is normal for his age, as negativism is attempting to meet which developmental need?

Correct Answer: C

Rationale: Negativism at this age reflects autonomy development (Erikson's stage).

Question 3 of 5

Which response by the nurse would best assist the chemically impaired client to deal with issues of guilt?

Correct Answer: B

Rationale: Identifying specific guilt and actionable steps promotes coping and recovery.

Question 4 of 5

A newborn has been diagnosed with hypothyroidism. In discussing the condition and treatment with the family, the nurse should emphasize

Correct Answer: B

Rationale: Early thyroid hormone treatment prevents developmental delays.

Question 5 of 5

Upon examining the mouth of a 3 year-old child, the nurse discovers that the teeth have chalky white-to-yellowish staining with pitting of the enamel. Which of the following conditions would most likely explain these findings?

Correct Answer: B

Rationale: Fluorosis from excessive fluoride causes enamel pitting and discoloration.

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