A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45. The nurse should plan client care based on which of the following expectations for an IQ score of 45.

Need for complete care

Perform self-care activities with supervision

Function independently at all times

Able to perform complex task independently

Answer and Explanation

The Correct Answer is A

A.   An IQ of 45 is classified as profound intellectual disability. Clients with this score typically require complete care and support in activities of daily living, including personal care, communication, and supervision.
B.   While clients with cognitive impairments may perform some self-care activities with supervision, the IQ score of 45 generally indicates a need for significant assistance.
C.   Clients with profound intellectual disability are unlikely to function independently at all times.
D.   Complex tasks are beyond the capability of individuals with an IQ score of 45, and they would require significant assistance in daily tasks.

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Correct Answer is B

Explanation

A. Budesonide is an inhaled corticosteroid used for long-term asthma control and is not appropriate for immediate relief during an acute asthma attack.
B. Albuterol is a short-acting beta-agonist (SABA) and is the first-line medication for quickly relieving bronchospasm during an acute asthma attack.
C. Fluticasone is an inhaled corticosteroid, which is used for long-term asthma control but not for rapid relief during an acute episode.
D. Montelukast is a leukotriene receptor antagonist, used for long-term asthma control, and would not be effective for immediate relief during an acute attack.

A. Tracheoesophageal fistula B. Hypertrophic pyloric stenosis C. Intussusception D. Inguinal hernia

Correct Answer is C

Explanation

A. Tracheoesophageal fistula is a congenital anomaly that affects the esophagus and is not associated with abdominal masses or blood and mucus in the stool.
B. Hypertrophic pyloric stenosis typically causes projectile vomiting and failure to thrive, but it does not typically present with an abdominal mass or blood in the stool.
C. Intussusception occurs when part of the intestine telescopes into another part, causing a mass, abdominal pain, and sometimes blood and mucus in the stools, which is consistent with the signs described.
D. Inguinal hernia is a protrusion of abdominal contents into the groin area, not typically associated with abdominal masses in the upper quadrant or blood in the stool.

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A nurse is caring for a client with cognitive impairment (CI) and an IQ score of 45. The nurse should plan client care based on which of the following expectations for an IQ score of 45.

Nursing Test Bank

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