GCC 776 - 800

Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:

• Pieces of hot dog
• Celery sticks
• Melba toast
• Grapes
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A client with a femur fracture is exhibiting shortness of breath, pain upon deep breathing, and a cough that produces blood-tinged sputum. The nurse would determine that these clinical manifestations are indicative of which of the following?

• Congestive heart failure
• Pulmonary embolus
• Adult respiratory distress syndrome
• Tension pneumothorax
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During discharge teaching, which instruction should the nurse give to a patient diagnosed with pancreatitis?

• Consume high-fat meals.
• Consume low-calorie meals.
• Limit daily alcohol intake.
• Avoid foods and beverages that contain caffeine.
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A night shift nurse receives shift report from the day shift nurse when the day nurse states, "I have an appointment and I need to leave. Can you get the rest of the clients' information from the medical records?" Which client right is violated by the day nurse?

• The clients' right to reasonable continuity of care.
• The clients' right to confidentiality.
• The clients' right to considerate and respectful care.
• The clients' right to make decisions about the plan of care and proposed treatment.
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The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?

• Jaundice
• Anorexia
• Tachycardia
• Fatigue
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The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother's lap. What should the nurse do first?

• Check the Babinski reflex
• Listen to the heart and lung sounds
• Palpate the abdomen
• Check tympanic membranes
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A patient, age 23, underwent a rhinoplasty 6 hours ago. After administering his pain medication, the nurse notes that he is swallowing frequently. What is the most likely cause of the swallowing?

• Oral dryness caused by nasal packing
• Bleeding posterior to the nasal packing
• An adverse reaction to the analgesic
• A normal response to the analgesic
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An infant with respiratory syncytial virus has been started on Virazole (ribavirin). When caring for the infant receiving Virazole, the nurse should:

• Discontinue isolation precautions while the medication is being administered
• Use contact precautions only when opening the mist tent
• Temporarily stop administration of the medication when the mist tent needs to be opened
• Increase the rate of medication administration when the mist tent needs to be opened
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During the first few days of recovery from ostomy surgery for ulcerative colitis, which aspect of patient care should take priority?

• Body image
• Ostomy care
• Sexual concerns
• Skin care
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The nurse is aware that the best way to prevent post-operative wound infection in the surgical client is to:

• Administer a prescribed antibiotic
• Wash her hands for 2 minutes before care
• Wear a mask when providing care
• Ask the client to cover her mouth when she coughs
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