A 5-year-old client is being treated for parasitic worms. What should be included in the client's care? (Select all that apply.)

a. Take baths, not showers.
b. Wash hands frequently.
c. Change sheets daily.
d. Take medication until worms are no longer noted in the feces.
e. Be alert for drowsiness.
f. Watch for side effects of agitation.


ANS: B, C, D, E
The child should take showers and must take the entire course of medications. It will cause drowsiness, not agitation.

Nursing

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The patient is a new postoperative patient. She weighs 75 kg. The nurse expects the minimal acceptable urine output to be:

a. less than 30 mL/hour. b. 37 mL/hour. c. 80 mL/hour. d. 150 mL/hour.

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To help preserve patients' rights to freedom from restraint and seclusion, the most important interventions that the nurse can use are based on which principle?

a. Therapeutic management b. Reality-based communication c. Confidentiality of documentation d. Effective use of ancillary personnel

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A child with a known diagnosis of autism is receiving therapy for obsessions. The type of therapy that would be appropriate for the child would be:

1. Behavior modification therapy. 2. Family therapy. 3. Social skills training. 4. Medication.

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The nurse is developing a plan of care for a 7-year-old boy with diabetes insipidus. What is the priority nursing diagnosis?

A) Deficient fluid volume related to dehydration B) Excess fluid volume related to edema C) Deficient knowledge related to fluid intake regimen D) Imbalanced nutrition, more than body requirements related to excess weight

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