A schizophrenic is admitted to the psychiatric unit. What affect would the nurse expect to observe?

• A.Anger
• B.Apathy and flatness
• C.Smiling
• D.Hostility

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A male client has heart failure. He has been instructed to gradually increase his activities. Which signs and symptoms of worsening heart failure should the nurse tell him to watch for that would indicate a need for him to lower his activity level?

• A.Pain in his legs when he walks
• B.Thirst, weight loss, and polyuria
• C.Drowsiness and lethargy after his activities
• D.Weight gain, edema in his lower extremities, and shortness of breath

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A 28-year-old multigravida has class II heart disease. At her prenatal visit at 34 weeks' gestation, all of the following observations are made. Which would require intervention?

• A.Weight gain of 2 kg in 4 weeks
• B.Blood pressure of 128/78
• C.Subjective data: shortness of breath after showering
• D.Ankle edema reported present in late afternoon and evenings

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A 15-year-old child is admitted to the pediatric unit with a diagnosis of thalassemia. Which of the following would be included in educating the mother and child as part of discharge planning?

• A.Give oral iron medication every day.
• B.Have the child's blood pressure monitored every week.
• C.Know the signs and symptoms of iron overload.
• D.Keep exercise at a minimum to reduce stress.

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A 2-month-old infant is receiving IV fluids with a volume control set. The nurse uses this type of tubing because it:

• A.Prevents administration of other drugs
• B.Prevents entry of air into tubing
• C.Prevents inadvertent administration of a large amount of fluids
• D.Prevents phlebitis

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