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When teaching a mother about measures to prevent lead poisoning in her children, which of the following preventive measures should the nurse include as the most effective?
- A. Condemning of old housing developments.
- B. Educating the public on common sources of lead.
- C. Educating the public on the importance of good nutrition.
- D. Keeping pregnant women out of old homes that are being remodeled.
Correct Answer: B
Rationale: Education on lead sources (e.g., paint, dust) empowers families to avoid exposure. Condemning housing is impractical, nutrition is secondary, and protecting pregnant women is less broad-reaching.
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A 10-year-old with glomerulonephritis reports a headache and blurred vision. The nurse should immediately:
- A. Put the client to bed.
- B. Obtain the child's blood pressure.
- C. Notify the physician.
- D. Administer acetaminophen (Tylenol).
Correct Answer: B
Rationale: Symptoms may indicate hypertensive crisis.
The nurse should teach the mother of a child who has a new cast for a fractured radius to do which of the following for the first few days at home?
- A. Use a hair dryer to dry the cast more quickly.
- B. Have the child refrain from strenuous activities.
- C. Check movement and sensation of the child's fingers once a day.
- D. Administer acetaminophen every 8 to 12 hours for discomfort.
Correct Answer: B
Rationale: Refraining from strenuous activities prevents damage to the cast and supports healing during the initial recovery period.
The nurse is inserting a nasogastric (NG) tube in a child admitted with head trauma. The nurse should explain to the parents that the NG tube will be used to:
- A. Administer medications.
- B. Decompress the stomach.
- C. Obtain gastric specimens for analysis.
- D. Provide adequate nutrition.
Correct Answer: B
Rationale: An NG tube in head trauma decompresses the stomach to prevent aspiration and manage gastric distension.
Which of the following should the nurse include in the discharge teaching for a parent of an infant with a repaired cleft lip to promote healing?
- A. Avoid pacifier use for 2 weeks.
- B. Apply antibiotic ointment daily.
- C. Keep the infant in a supine position.
- D. Offer large, frequent feedings.
Correct Answer: A
Rationale: Avoiding pacifier use prevents stress on the suture line, promoting healing.
Which of the following client actions should the nurse judge to be a healthy coping behavior for a male adolescent after an appendectomy?
- A. Insisting on wearing a T-shirt and gym shorts rather than pajamas.
- B. Avoiding interactions with other adolescents on the nursing unit.
- C. Refusing to fill out the menu, and allowing the nurse to do so.
- D. Not taking telephone calls from friends so he can rest.
Correct Answer: A
Rationale: Choosing preferred clothing reflects autonomy and positive coping.