The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to immediately report

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Question 1 of 5

The nurse is teaching parents about the treatment plan for a 2 weeks-old infant with Tetralogy of Fallot. While awaiting future surgery, the nurse instructs the parents to immediately report

Correct Answer: A

Rationale: Loss of consciousness may indicate a severe hypoxic spell, requiring urgent attention.

Question 2 of 5

The nurse is reviewing a depressed client's history from an earlier admission. Documentation of anhedonia is noted. The nurse understands that this finding refers to

Correct Answer: C

Rationale: Anhedonia is the inability to feel pleasure, a core symptom of depression.

Question 3 of 5

While planning care for a 2 year-old hospitalized child, which situation would the nurse expect to most likely affect the behavior?

Correct Answer: B

Rationale: Separation anxiety peaks at this age, significantly impacting behavior.

Question 4 of 5

Which of the following would be the best strategy for the nurse to use when teaching insulin injection techniques to a newly diagnosed client with diabetes?

Correct Answer: D

Rationale: Return demonstration confirms skill mastery and corrects errors.

Question 5 of 5

Which action is appropriate when performing perineal care for an incontinent patient?

Correct Answer: C

Rationale: Patting the area dry after cleaning during perineal care prevents moisture-related irritation and skin breakdown, common in incontinent patients. Harsh soaps can strip natural oils, causing dryness or infection, so mild cleansers are better. Wiping back to front risks introducing fecal bacteria to the urethra, increasing UTI chances, especially in females front-to-back is the standard. Limiting care to once a week neglects hygiene needs, as incontinence requires frequent cleaning to avoid rashes or infections. Gentle drying maintains skin integrity, reducing friction and promoting comfort, which is critical for patients unable to manage their own hygiene.

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