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NEW QUESTION 44
Discharge teaching was effective if the parents of a child with atopic dermatitis could state the importance of:

A. Maintaining a high-humidified environmentB. Wrapping hands in soft cotton glovesC. Showering 3-4 times a dayD. Furry, soft stuffed animals for play

Answer: B

Explanation:
(A) Maintaining a low-humidified environment. (B) Avoiding furry, soft stuffed animals for play, which may increase symptoms of allergy. (C) Avoiding showering, which irritates the dermatitis, and encouraging bathing 4 times a day in colloid bath for temporary relief. (D) Wrapping hands in soft cotton gloves to prevent skin damage during scratching.

 

NEW QUESTION 45
On morning rounds, the nurse found a manic-depressive client who is taking lithium in a confused mental state, vomiting, twitching, and exhibiting a coarse hand tremor. Which one of the following nursing actions is essential at this time?

A. Withhold her lithium, and report her symptoms to the physician.B. Administer her next dosage of lithium, and then call the physician.C. Place her on NPO to decrease the excretion of lithium from her body, and call the physician.D. Contact the lab and request a lithium level in 30 minutes, and call the physician.

Answer: A

Explanation:
Explanation/Reference:
Explanation:
(A) The client has lithium toxicity, and the nurse must withhold further dosages. (B) Because of her level of toxicity, further lithium could cause coma and death. The nurse needs further orders from the physician to stabilize the client's lithium level. (C) Ensuring adequate intake of sodium chloride will promote excretion of lithium and will assist in managing the client's lithiumtoxicity. (D) A lithium blood level must be drawn immediately to determine the seriousness of the toxicity and to provide the physician with data for medical orders.

 

NEW QUESTION 46
A 64-year-old client is admitted to the hospital with benign prostatic hypertrophy (BPH). He has a history of adult-onset diabetes and hypertension and is scheduled to undergo a resection of the prostate. When recording his health history, the nurse asks about his chief complaint. The most serious symptom that may accompany BPH is:

A. Increased frequency of urinationB. Acute urinary retentionC. Decreased force of the urinary streamD. Hesitancy in starting urination

Answer: B

Explanation:
(A) Acute urinary retention requires urgent medical attention. If measures such as a warm tub bath or warm tea do not occur after 6 hours, the client should go to the ED for catheterization. (B, C, D) This choice is a symptom of BPH, but it is not serious or life threatening.

 

NEW QUESTION 47
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