As soon as a child has been diagnosed as "hearing impaired," special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

• A.Auditory training
• B.Speech
• C.Lip reading
• D.Signing

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A client has been admitted to the nursing unit with the diagnosis of severe anemia. She is slightly short of breath, has episodes of dizziness, and complains her heart sometimes feels like it will "beat out of her chest." The physician has ordered her to receive 2 U of packed red blood cells. The most important nursing action to be taken is:

• A.Starting an 18-gauge IV infusion
• B.Having the consent form on the chart
• C.Administering the correct blood product to the correctclient
• D.Transfusing the blood in a 2-hour time frame

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A 7-year-old girl has been diagnosed with juvenile arthritis and has been placed on daily aspirin. Which statement made by the parent indicates a need for further teaching?

• A."My daughter takes her aspirin with her meals."
• B."Her gums have been bleeding frequently. Maybe she is brushing too hard."
• C."I give her aspirin on a regular schedule every day."
• D."One sign of aspirin toxicity can be ringing in the ears."

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A type I diabetic client is diagnosed with cellulitis in his right lower extremity. The nurse would expect which of the following to be present in relation to his blood sugar level?

• A.A normal blood sugar level
• B.A decreased blood sugar level
• C.An increased blood sugar level
• D.Fluctuating levels with a predawn increase

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When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

• A.Continue monitoring because this is a normal occurrence.
• B.Turn client on right side.
• C.Decrease IV fluids.
• D.Report to physician or midwife.

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