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The nurse is has just admitted a client with severe depression. From
which focus should the nurse identify a priority nursing diagnosis?
A) Nutrition
B) Elimination
C) Activity
D) Safety
The correct answer is D: Safety
While explaining an illness to a 10 year-old, what should the nurse keep in
mind about the cognitive development at this age?
A) They are able to make simple association of ideas
B) They are able to think logically in organizing facts
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C) Interpretation of events originate from their own perspective
D) Conclusions are based on previous experiences
The correct answer is B: Think logically in organizing facts
The nurse enters the room as a 3 year-old is having a generalized
seizure. Which intervention should the nurse do first?
A) Clear the area of any hazards
B) Place the child on the side
C) Restrain the child
D) Give the prescribed anticonvulsant
The correct answer is B: Place the child on the side
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Which of the following would be the best strategy for the nurse to use
when teaching insulin injection techniques to a newly diagnosed client with
diabetes?
A) Give written pre and post tests
B) Ask questions during practice
C) Allow another diabetic to assist
D) Observe a return demonstration
The correct answer is D: Observe a return demonstration
A client has developed thrombophlebitis of the left leg. Which nursing
intervention should be given the highest priority?
A) Elevate leg on 2 pillows
B) Apply support stockings
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C) Apply warm compresses
D) Maintain complete bed rest
The correct answer is A: Elevate leg on 2 pillows
A nurse from the surgical department is reassigned to the pediatric unit.
The charge nurse should recognize that the child at highest risk for cardiac
arrest and is the least likely to be assigned to
this nurse is which child?
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