A 6-year-old child is attending a pediatric clinic for a routine examination. What should the nurse assess for while conducting a vision screening?

• A.Hearing test
• B.Gait
• C.Strabismus
• D.Papilledema

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A client who has gout is most likely to form which type of renal calculi?

• A.Struvite stones
• B.Staghorn calculi
• C.Uric acid stones
• D.Calcium stones

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The following nursing diagnosis is written for a comatose client with cirrhosis of the liver and secondary splenomegaly-High risk for injury: Increased susceptibility to bleeding related to:

• A.Increased absorption of vitamin K
• B.Thrombocytopenia due to hypersplenism
• C.Diminished function of the Kupffer cells
• D.Increased synthesis of the clotting factors

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Following a bicycle accident, a 12-year-old client sustained a complete fracture of the left femur. He was placed in 90◦-90◦ skeletal traction with a pin in the distal end of the femur to achieve realignment and immobilization of the left femur. When providing nursing care, it is important for the nurse to remember that:

• A.The nurse may lift only the weights that are applying traction in order to reposition him in bed
• B.The client will need special skin care at the pin site according to hospital policy or the physician's preference
• C.The traction pull should result in an immediate increase in comfort and reduce the need for pain medication
• D.The client should be discouraged from participating in self-care activities to avoid the risk of disrupting the traction

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A client is being discharged from the hospital today. The discharge teaching for care of her colostomy included which of the following basic principles for protecting the skin around her stoma:

• A.Taping a pouch that is leaking
• B.Cutting the skin barrier 112 inches larger than the stoma
• C.Changing the pouch only when leakage occurs
• D.Using a skin sealant under pouch adhesives

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