Nokea
What findings would make the nurse suspicious of anorexia in a client?
- A. Aversion to exercise and food allergies.
- B. Significant weight loss and amenorrhea.
- C. Respiratory distress and thick oral mucus.
- D. Cardiac arrhythmias and anasarca.
Correct Answer: B
Rationale: Weight loss and amenorrhea are hallmark signs of anorexia.
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The pediatric nurse would be participating in the role of advocate when completing which action?
- A. Instructing parents on the side effects of vaccinations they are requesting for their child
- B. Contributing input on a task force with the aim to reduce the rate of mortality of infants and children
- C. Teaching parents to keep their prescribed medication safely out of reach of children
- D. Explaining to parents the reason for each medication their child was recently prescribed
Correct Answer: B
Rationale: The role of advocacy is being fulfilled when the nurse works to safeguard and advance the interest of children and infants through many means, including contributing to the learning and application of a task force aimed at reducing infant and children mortality.
A nurse is assessing a client who is at 31 weeks of gestation. Which of the following findings show potential prenatal complication?
- A. Periodic tingling of fingers
- B. Absence of clonus
- C. Leg cramps
- D. Blurred vision
Correct Answer: D
Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.
The nurse's initial action when caring for an infant with a slightly decreased temperature is to:
- A. notify the physician immediately.
- B. place a cap on the infant's head and have the mother perform kangaroo care.
- C. tell the mother that the infant must be kept in the nursery and observed for the next 4 hours.
- D. change the formula, as this is a sign of formula intolerance.
Correct Answer: B
Rationale: Kangaroo care and covering the head help conserve heat.
Which signs/symptoms would the nurse expect to see in a client diagnosed with pubic lice?
- A. Macular rash on the labia.
- B. Pruritus.
- C. Hyperthermia.
- D. Foul-smelling discharge.
Correct Answer: B
Rationale: Itching (pruritus) is a hallmark symptom of pubic lice infestation.
Individuals 35 years or older at conception have an increased risk of what complication?
- A. low birth weight
- B. hypoglycemia
- C. neural tube defects
- D. chromosomal abnormalities
Correct Answer: D
Rationale: