The nurse is teaching circumcision care to the mother of a newborn. Which statement indicates that the mother needs further teaching?
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Solution
Answer C is correct. The mother does not need to place an external heat source near the infant. It will not promote healing, and there is a chance that the newborn could be burned; therefore, the mother needs further teaching. Answers A, B, and D indicate correct care of the newborn who has been circumcised; therefore, they are incorrect.
A client scheduled for an exploratory laparotomy tells the nurse that she takes kava-kava (piper methysticum)for sleep. The nurse should notify the doctor because kava-kava:
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Solution
Answer A is correct. Kava-kava increases the effects of central nervous system depressants. Answers B, C, and D are not related to the use of kava-kava; therefore, they are incorrect.
Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:
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Solution
Answer C is correct. Melba toast promotes chewing and is easily managed by the toddler. Pieces of hot dog, celery sticks, and grapes are unsuitable for the toddler because of the risk of aspiration.
Which person is at greatest risk for developing Lyme’s disease?
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Solution
Answer D is correct. Lyme’s disease is transmitted by ticks found on deer and mice in wooded areas. Answers A and B have little risk for the disease. Dog trainers are exposed to dog ticks that carry Rocky Mountain Spotted Fever but not Lyme’s disease; therefore, answer C is incorrect.
A client taking Laniazid (isoniazid) asks the nurse how long she must take the medication before her sputum cultures will return to normal. The nurse recognizes that the client should have a negative sputum culture within:
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Solution
Answer D is correct. The client taking isoniazid should have a negative sputum culture within 3 months. Answers A, B, and C are incorrect because there has not been sufficient time for the medication to be effective.
The nurse is teaching the client with AIDS regarding proper food preparation. Which statement indicates that the client needs further teaching?
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Solution
Answer B is correct. Undercooked meat is a source of toxoplasmosis cysts. Toxoplasmosis is a major cause of encephalitis in clients with AIDS. Answers A, C, and D are accurate statements reflecting the client’s understanding of the nurse’s teaching; therefore, they are incorrect.
A nurse is assessing a client hospitalized with peptic ulcer disease. Which finding should be reported to the charge nurse immediately?
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Solution
Answer A is correct. Decreased blood pressure and increased pulse rate are signs of bleeding. Answers B, C, and D are within normal limits; therefore, they are incorrect.
An infant is hospitalized for treatment of botulism. Which factor is associated with botulism in the infant?
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Solution
Answer B is correct. Infants under the age of 2 years should not be fed honey because of the danger of infection with Clostridium botulinum. Answers A, C, and D have no relationship to the situation; therefore, they are incorrect.
The mother of a male child with cystic fibrosis tells the nurse that she hopes her son’s children won’t have the disease. The nurse is aware that:
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Solution
Answer B is correct. Approximately 99% of males with cystic fibrosis are sterile because of obstruction of the vas deferens. Answers A, C, and D are incorrect because most males with cystic fibrosis are incapable of reproduction.
A client with AIDS asks the nurse why he can’t have a pitcher of water at his bedside so he can drink whenever he likes. The nurse should tell the client that:
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Solution
Answer D is correct. The client with AIDS should not drink water that has been sitting longer than 15 minutes because of bacterial contamination. Answer A is incorrect because tap water is not better for the client. Answer B is incorrect because juices should not replace water intake. Answer C is not an accurate statement; therefore, it is incorrect.