The nurse teaches the client's mother about the normal reaction that the infant might experience 12 to 24 hours after the DPT immunization. Which of the following reactions would the nurse discuss?

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NCLEX Pediatric Respiratory Nursing Questions Questions

Question 1 of 5

The nurse teaches the client's mother about the normal reaction that the infant might experience 12 to 24 hours after the DPT immunization. Which of the following reactions would the nurse discuss?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 5

Nurse Bryan knows that one of the most effective strategies to teach a 4-year-old about safety is to...

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 3 of 5

The school nurse is planning a series of safety and accident prevention classes for a group of third graders. What preventive measures should the nurse stress during the first class, knowing the leading cause of incidental injury and death in this age?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

Postpartum overdistention of the bladder and urinary retention can lead to which complication?

Correct Answer: D

Rationale: Incomplete emptying and overdistention of the bladder can lead to urinary tract infection. Overdistention of the bladder displaces the uterus and prevents contraction of the uterine muscle. There is no correlation between bladder distention and blood pressure or fever. There is no correlation between bladder distention and eclampsia. The risk of uterine rupture decreases after the birth.

Question 5 of 5

The nurse has completed a postpartum assessment on a patient who delivered 1 hour ago. Which amount of lochia consists of a moderate amount?

Correct Answer: B

Rationale: Because estimating the amount of lochia is difficult, nurses frequently record flow by estimating the amount of lochia in 1 hour using the following labels: Scant€”less than 2.5 cm (1-inch) stain on the peripad; Light€”less than a 10 cm (4 inch) stain; Moderate€”less than a 15 cm (6 inch) stain; Heavy€”saturated peripad; Excessive€”saturated peripad in 15 minutes. Determining the time interval that the peripad is in place is also important. Lochia is less for women who have had a cesarean birth because some of the endometrial lining is removed during surgery.

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