Nokea
A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?
- A. poor motor skills
- B. promiscuous behavior
- C. future drug and alcohol dependency
- D. diagnosis of clinical depression
Correct Answer: A
Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.
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The nurse is preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge home. Which of the following statements by the client indicates a need for further teaching by the nurse?
- A. I do not need to limit my time in public places.'
- B. I may share food from serving dishes with others at a restaurant.'
- C. I may use public restrooms.'
- D. I may donate blood.'
Correct Answer: D
Rationale: AIDS patients cannot donate blood due to HIV transmission risk. Public activities and restrooms pose minimal risk, and sharing serving dishes is safe if not directly contaminated.
Which of the following examples represents parallel play?
- A. Jenny and Tommy share their toys.
- B. Jimmy plays with his car beside Mary, who is playing with her doll.
- C. Kevin plays a game of Scrabble with Kathy and Sue.
- D. Mary plays with a handheld game while sitting in her mother's lap.
Correct Answer: B
Rationale: Parallel play involves children playing side by side with similar toys but without direct interaction, as described in the scenario with Jimmy and Mary.
The nurse is preparing to discharge a client who is taking an MAOI. The nurse should instruct the client to:
- A. Wear protective clothing and sunglasses when outside
- B. Avoid over-the-counter cold and hayfever preparations
- C. Drink at least eight glasses of water a day
- D. Increase his intake of high-quality protein
Correct Answer: B
Rationale: MAOIs interact dangerously with OTC cold and hayfever medications containing sympathomimetics, risking hypertensive crisis.
A client with myasthenia gravis is admitted in a cholinergic crisis. Signs of of cholinergic crisis include:
- A. Decreased blood pressure and constricted pupils
- B. Increased heart rate and increased respirations
- C. Increased respirations and increased blood pressure
- D. Anoxia and absence of the cough reflex
Correct Answer: A
Rationale: Cholinergic crisis, due to excessive acetylcholinesterase inhibitors, causes symptoms like constricted pupils and decreased blood pressure from parasympathetic overstimulation.
Which of the following is a core measure set developed by the Joint Commission?
- A. genetics
- B. lymphoma
- C. nosocomial infections
- D. heart failure
Correct Answer: D
Rationale: Heart failure is a Joint Commission core measure set, focusing on improving care quality for common conditions. The others are not core measures.