Nokea
The nurse is teaching the parents of an infant with osteogenesis imperfecta. The nurse should tell the parents:
- A. That the infant will need daily calcium supplements
- B. To lift the infant by the buttocks when diapering
- C. That the condition is a temporary one
- D. That only the bones are affected by the disease
Correct Answer: B
Rationale: Lifting by the buttocks prevents fractures in osteogenesis imperfecta, a brittle bone disorder calcium doesn't strengthen defective collagen, it's lifelong, and other systems (e.g., hearing) may be affected. Nurses teach gentle handling, ensuring safety in this genetic condition.
You may also like to solve these questions
Which of the following statement best describe disability?
- A. Temporary loss of function
- B. Permanent loss of function
- C. Absence of disease
- D. A state of well being
Correct Answer: B
Rationale: Disability is permanent loss of function (B), per definition e.g., amputation impact. Temporary (A) is impairment, absence (C) health, well-being (D) opposite. B best defines disability's chronicity, making it correct.
Small for gestational age and large for gestational age infants have polycythemia because of:
- A. Hypocalcemia
- B. Hypoglycemia
- C. Hypoxia
- D. Hypothermia
Correct Answer: C
Rationale: Polycythemia (high red blood cell count) in SGA and LGA infants relates to intrauterine conditions. Hypocalcemia (choice A) affects calcium, not blood cells. Hypoglycemia (choice B) is metabolic, common in both, but unrelated to polycythemia. Hypoxia (choice C) triggers erythropoietin release, increasing RBCs; SGA infants face placental insufficiency, LGA infants (e.g., diabetic mothers) experience transient hypoxia. Hypothermia (choice D) doesn't cause polycythemia. C is correct, as hypoxia drives this adaptation. Nurses monitor hematocrit, manage viscosity risks (e.g., dehydration), and support oxygenation, preventing complications.
Which of the following statement is NOT true about Hospice care?
- A. Offered to terminally ill client
- B. The client's family is included in the care
- C. Focuses on relieving symptoms
- D. Requires client to sign a DNR
Correct Answer: D
Rationale: Hospice cares for terminally ill (A), includes family (B), and relieves symptoms (C), per hospice philosophy. Requiring a DNR (D) isn't true preferred, not mandatory; care focuses on comfort, not resuscitation status. D's absolute requirement misaligns with flexibility, making it the untrue statement.
A nurse working in a community health center is focusing on illness prevention for a group of young adults. Which action reflects primary prevention?
- A. Screening for sexually transmitted infections
- B. Educating about the risks of smoking
- C. Referring clients with depression to a counselor
- D. Planning care for clients with asthma
Correct Answer: B
Rationale: Primary prevention targets illness before it strikes, ideal for young adults shaping lifelong habits. Educating about smoking risks cancer, lung damage aims to deter uptake or prompt quitting, a modifiable behavior with huge impact, as smoking's a top preventable death cause. Screening for STIs is secondary, catching disease early, not stopping it. Referring depression cases or planning asthma care is tertiary, managing conditions, not preventing onset. Smoking education fits primary prevention's proactive core studies show early awareness cuts initiation rates perfect for a community setting where young adults face peer pressures. Nursing uses this to shift trajectories, reducing chronic illness odds through informed choice, a powerful, scalable action for this age group's health future.
A client had oral surgery following a motor vehicle accident. The nurse assessing the client finds the skin flushed and warm. Which of the following would be the best method to take the client's body temperature?
- A. Oral
- B. Axillary
- C. Arterial line
- D. Rectal
Correct Answer: B
Rationale: Axillary avoids the oral route post-surgery and is appropriate for a flushed, warm client.