Select the age group that is accurately paired with the normal and recommended hours of sleep each day.
- A. The neonate: 10 to 15 hours a day
- B. The toddler: 11 to 14 hours a day
- C. The preschool child: 12 to 15 hours a day
- D. The school age child: Less than 8 hours a day
Correct Answer: B
Rationale: Toddlers (1-2 years) typically require 11-14 hours of sleep per day, including naps, which is the correct pairing.
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A client with a history of type 2 diabetes is prescribed glipizide (Glucotrol). The nurse should instruct the client to:
- A. Take the medication 30 minutes before meals.
- B. Avoid alcohol consumption.
- C. Take the medication at bedtime.
- D. Stop the medication if blood glucose normalizes.
Correct Answer: A, B
Rationale: Glipizide should be taken 30 minutes before meals to optimize glucose control, and alcohol should be avoided to prevent hypoglycemia.
A client with a history of osteoporosis is prescribed alendronate (Fosamax). The nurse should instruct the client to take the medication:
- A. At bedtime with a snack.
- B. First thing in the morning with water.
- C. With meals to enhance absorption.
- D. With milk to reduce stomach irritation.
Correct Answer: A
Rationale: Alendronate should be taken first thing in the morning with water, on an empty stomach, to maximize absorption and minimize esophageal irritation.
A comprehensive health assessment includes:
- A. A complete medical history, a general survey and a complete physical assessment.
- B. A complete medical history, a general survey and a focused physical assessment.
- C. A client interview, a significant other interview, a general survey and a complete physical assessment.
- D. A client interview, a significant other interview, a general survey and a focused physical assessment.
Correct Answer: A
Rationale: A comprehensive health assessment includes a complete medical history, a general survey (vital signs, appearance), and a complete physical assessment covering all body systems.
The nurse is caring for a client with a closed head injury. Which finding indicates increasing intracranial pressure?
- A. Widening pulse pressure
- B. Tachycardia
- C. Hyperthermia
- D. Hypotension
Correct Answer: A
Rationale: Widening pulse pressure (e.g., increasing systolic with stable diastolic) is a sign of increasing intracranial pressure, part of Cushing's triad.
When a client with alcohol dependency begins to talk about not having a problem with alcohol, the nurse should use which of the following approaches?
- A. Questioning the client about how much alcohol she drinks.
- B. Confronting the client with the fact that she was intoxicated 2 days ago.
- C. Pointing out how alcohol has gotten her into trouble.
- D. Listening to what the client states and then asking her how she plans to stay sober.
Correct Answer: D
Rationale: This approach uses therapeutic communication, acknowledging the client's perspective and encouraging problem-solving, which is effective for addressing denial in alcohol dependency.
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