Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?

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Question 1 of 5

Which statement by a parent would alert the nurse to assess for iron deficiency anemia in a 14 month-old child?

Correct Answer: B

Rationale: My child doesn't like many fruits and vegetables, but she really loves her milk' alerts for iron deficiency anemia. Excessive milk intake (>24 oz/day) in a 14-month-old can displace iron-rich foods, reducing absorption, per pediatric nutrition guidelines. Constipation isn't specific, appetite drop is developmental, and fluid intake is unrelated. B prompts hemoglobin and dietary assessment.

Question 2 of 5

An ambulatory client reports edema during the day in his feet and ankles that disappears while sleeping at night. What is the most appropriate follow-up question for the nurse to ask?

Correct Answer: C

Rationale: How many pillows do you use at night to sleep comfortably?' is most appropriate. Edema resolving at night suggests cardiac or venous issues; pillow use indicates orthopnea, per cardiovascular assessment. Heart attack , dyspnea , and smoking are less specific initially. C pinpoints severity.

Question 3 of 5

The nurse auscultates bibasilar inspiratory crackles in a newly admitted 68 year-old client with a diagnosis of congestive heart disease. Which other finding is most likely to occur?

Correct Answer: B

Rationale: Peripheral edema is most likely with bibasilar crackles in congestive heart failure. Fluid overload causes both, per cardiac nursing. Chest pain may occur, clubbing is chronic hypoxia, and lethargy is nonspecific. B aligns with CHF pathophysiology.

Question 4 of 5

To obtain data for the nursing assessment, the nurse should:

Correct Answer: D

Rationale: Eliciting clients' descriptions of experiences, thoughts, and behaviors is optimal. It gathers subjective data comprehensively, per assessment standards. Nonverbal is part, structure limits depth, and free talk lacks focus. D ensures thorough, client-centered data.

Question 5 of 5

The nurse is caring for several 70 to 80 year-old clients on bed rest. What is the most important measure to prevent skin breakdown?

Correct Answer: B

Rationale: Frequent turning is most important to prevent skin breakdown in elderly on bed rest. Repositioning relieves pressure, per gerontological nursing. Massage risks damage, lotions hydrate but don't prevent, and heat worsens redness. B is the primary intervention.

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