Nokea
A nurse is collecting data from a 9-year-old child during a well-child visit. Which of the following findings should the nurse expect?
- A. Expresses conflict over independence and control
- B. Demonstrates self-centered thinking
- C. Displays emotional detachment from parents
- D. Grasps concept of cause-and-effect
Correct Answer: D
Rationale: Grasping the concept of cause-and-effect is correct. At this stage, children develop logical thinking and an understanding of consequences, allowing them to recognize how actions lead to specific outcomes.
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A nurse is caring for a client who has a new prescription for montelukast. Which of the following adverse effects should the nurse monitor for?
- A. Mood changes
- B. Weight loss
- C. Bradycardia
- D. Hypoglycemia
Correct Answer: A
Rationale: Montelukast, a leukotriene inhibitor, can cause mood changes, including anxiety or depression, which require monitoring.
A nurse is reinforcing teaching with a client who has a new prescription for albuterol. Which of the following adverse effects should the nurse include?
- A. Tremors
- B. Bradycardia
- C. Hypoglycemia
- D. Constipation
Correct Answer: A
Rationale: Albuterol, a beta-agonist, can cause tremors as a common side effect due to its stimulatory effect on the nervous system.
A nurse is reinforcing teaching with a client who has a new prescription for an epinephrine auto-injector. Which of the following instructions should the nurse include?
- A. Store the injector in the refrigerator.
- B. Inject into the thigh.
- C. Shake the injector before use.
- D. Apply pressure for 30 seconds after injection.
Correct Answer: B
Rationale: Injecting into the thigh ensures rapid absorption of epinephrine to treat anaphylaxis effectively.
A nurse is caring for a client who has a new diagnosis of sarcoidosis. Which of the following findings should the nurse expect?
- A. Lung nodules
- B. Weight gain
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Lung nodules are a common finding in sarcoidosis due to granuloma formation in the lungs.
A nurse is caring for a client who has a new diagnosis of Cushing's syndrome. Which of the following findings should the nurse expect?
- A. Weight gain
- B. Weight loss
- C. Bradycardia
- D. Hypotension
Correct Answer: A
Rationale: Weight gain, especially in the trunk, is a common symptom of Cushing's syndrome due to excess cortisol.