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A nurse is completing a home visit of a new mother who is breast-feeding her infant. Which of the following instructions should the nurse provide during this visit?
- A. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss.
- B. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk.
- C. Use formula to provide the infant supplementation between feedings.
- D. Use a pacifier to help the infant to fall asleep so he does not fall asleep when breast-feeding.
Correct Answer: B
Rationale: Adequate fluid intake is essential for breastfeeding mothers to produce sufficient milk.
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A nurse is working with a community to raise awareness about lead poisoning. Why is the nurse performing this action?
- A. It is a moral responsibility.
- B. It is the role of the nurse.
- C. It is an ethical responsibility.
- D. It is the right thing to do.
Correct Answer: C
Rationale: Raising awareness about public health risks, such as lead poisoning, is an ethical responsibility of nurses.
Which dental health advice should be included in an occupational health fair?
- A. "Drinking bottled water helps prevent tooth decay."
- B. "Gingivitis results in bone destruction and can be eliminated by flossing daily."
- C. "Preventive dental care requires a visit to the dentist every 4 months."
- D. "In addition to screening for tooth decay, dentists screen for mouth cancer."
Correct Answer: D
Rationale: Dentists may be the first to detect conditions such as mouth cancer, making regular dental check-ups crucial.
A 4-year-old boy had an episode of enuresis. Which of the following actions should be taken by the parents?
- A. Have him change his own pajamas before going to bed.
- B. Take away one video game.
- C. Tell his 6-year-old sister about the incident.
- D. Make him wear his diaper to bed.
Correct Answer: A
Rationale: Encouraging the child to take responsibility and change his own pajamas helps to foster self-reliance without ridicule.
A 66-year-old woman with osteoarthritis of the knees and hands tells the nurse she is interested in movement therapy. Which of the following would be the most appropriate for the nurse to suggest to this person?
- A. Tai Chi
- B. Hatha yoga
- C. Qi gong
- D. Dance therapy
Correct Answer: A
Rationale: Tai Chi and Qi gong are movement therapies combining relaxation and controlled movements, making them suitable for individuals with osteoarthritis.
A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview?
- A. Paternal age
- B. Maternal age
- C. Family history
- D. Religious affiliation
Correct Answer: B
Rationale: Maternal age and family history are key factors collected during genetic counseling to assess genetic risks.