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Nursing Students General Students

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Specializes in ED.

1. A 13 year old child is diagnosed with an Ewing's sarcoma of the femur. Following a course of radiation and chemotherapy, it has been decided that leg amputation is necessary. Following the amputation, the child beomes frightened because of aching and cramping felt in the missing limb. Which nursing statement would be most appropriate to assist in alleviating the child's fear.

a. "This aching and cramping is normal and temporary and will subside."

b. "This normally occurs after the surgery, and we will teach you ways to deal with it"

c. "The pain medicatoin that I give you wil take these feelings away"

d. "This pain is not real pain, and relaxation exercises will help it go away"

2. Oral iron supplements are precribed for the 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which of the following food items?

a. water

b. milk

c. apple juice

d. tomato juice

3. A client with diabetes mellitus is being discharged following treatment for hyperglycemic hyperosmolar nonketotic syndrome precipiated by acute illness. The client tells the nurse, "I will call the doctor next time I can't eat for more than a day or so". Which of the following sttements reflects the most appropriate analysis of this client's level of knowledge?

a. The client needs immediate education before discharge.

b. The client's statement is accurate, but knowledge should be evaluated further.

c. The client's statement is inaccurate, and the client should be scheduled for outpatient diabetic counceling.

d. The client requires follow-up teaching regarding the administration of insulin.

4. The client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that the family members have not been supportive. The nurse's best response to the client is

a. "You can't always depend on your family to help"

b. "Let me go over the types of insulin with you again"

c. "It's not really necessary for you to remember this"

d. "What is it that you don't understand?"

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Specializes in post-op.

Alright since nobody else has answered I will give it a shot!

1. b

2. a

3. c

4. b

Hope I am not too far off!

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ok, i'll give it a shot too...

1. b

2. a

3. a

4. b

can't wait to see how close/ far off i am.

alison

adn studnet, graduating december 12, 2005 :smiley_aa

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1. A 13 year old child is diagnosed . . .

1. b

2. c (if vitamin c has been added to apple juice; orange juice would be a much better choice)

3. b

4. b

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Specializes in ED.

I'll post the answers later on tonight probably after 8pm eastern.

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ok, i'll give it a shot too...

1. b

2. a

3. a

4. b

can't wait to see how close/ far off i am.

alison

adn studnet, graduating december 12, 2005 :smiley_aa

i agree with these answers. hopefully 2 heads really are better than one!

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1. b

2. c

3. b (we went over this in the nclex review class that I just took- she said yes that OJ is the best but since it is not there, apple is the best depending on the age.... she said that it is not too often kids will willingly drink tomato juice)

4. b

I have heard from two friends who have passed the test already that another variation of question 3 that has been asked is cranberry or tomato juice

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I think

1.a

2.c

3.b

4.b

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Specializes in ED.

Ok, sorry guys, got tired last night and went for sleep over computer :)

Here they are.

1. = A Rational-Following amputation, phantom limb pain is a temporary condition that some children may eperience. This sensation of burning, aching, or cramping in the missing limb is most distressing to the child. The child needs to be reassured that the condition is normal and onl temporary. Options B,C, and D are not appropriate responses to the child.

#2. = D Rational- Viatamin C increases the absorption of iron by the body. The mother should be instructed to administer the medication with a citrus fruit or juice high in vitamin C. From the options presented, option D is the best option that identifies the item highest in vitamin C.

#3. = A Rational- If the client becomes ill and cannot retain fluids or food for a period of 4 hours, the physician should be notified. The client's statement in this questoin indicates a need for immediate educ ation to prevent hyperglycemic hyperosmoloar nonketotic syndrome, a life threatening emergency.

#4 = B Rational- Reinforcement of knowledge and behaviors is vital to the success of the client's self-care. Options A, C, and D do not address the need for chleint instructions and are not therapeutic responses.

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Specializes in Med/Surge.
1. A 13 year old child is diagnosed with an Ewing's sarcoma of the femur. Following a course of radiation and chemotherapy, it has been decided that leg amputation is necessary. Following the amputation, the child beomes frightened because of aching and cramping felt in the missing limb. Which nursing statement would be most appropriate to assist in alleviating the child's fear.

a. "This aching and cramping is normal and temporary and will subside."

b. "This normally occurs after the surgery, and we will teach you ways to deal with it"

c. "The pain medicatoin that I give you wil take these feelings away"

d. "This pain is not real pain, and relaxation exercises will help it go away"

2. Oral iron supplements are precribed for the 6 year old child with iron deficiency anemia. The nurse instructs the mother to administer the iron with which of the following food items?

a. water

b. milk

c. apple juice

d. tomato juice

3. A client with diabetes mellitus is being discharged following treatment for hyperglycemic hyperosmolar nonketotic syndrome precipiated by acute illness. The client tells the nurse, "I will call the doctor next time I can't eat for more than a day or so". Which of the following sttements reflects the most appropriate analysis of this client's level of knowledge?

a. The client needs immediate education before discharge.

b. The client's statement is accurate, but knowledge should be evaluated further.

c. The client's statement is inaccurate, and the client should be scheduled for outpatient diabetic counceling.

d. The client requires follow-up teaching regarding the administration of insulin.

4. The client with type 1 diabetes mellitus is having trouble remembering the types, duration, and onset of the action of insulin. The client tells the nurse that the family members have not been supportive. The nurse's best response to the client is

a. "You can't always depend on your family to help"

b. "Let me go over the types of insulin with you again"

c. "It's not really necessary for you to remember this"

d. "What is it that you don't understand?"

Here goes:

1. B

2. C (r/t Vit C? absorbtion is increased??)

3. A

4. B

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1.) B

2.) D

3.) A

4.) B

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