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Questions 227

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Extract:


Question 1 of 5

A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication?

Correct Answer: A

Rationale: Positive urine glucose and acetone suggest gestational diabetes mellitus (GDM), which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Pedal edema (
B), increased vaginal discharge (
C), and diaphragmatic pressure (
D) are common in late pregnancy and not typically concerning unless accompanied by other symptoms.

Question 2 of 5

Order: Vancomycin HCl 1 g in 250 mL DW IVPB, infuse in 90 min. Calculate the flow rate in drops per minute. The drop factor is 20 gtt/mL.

Correct Answer: A

Rationale: 250 mL ÷ 90 min = 2.777 mL/min. 2.777 mL/min × 20 gtt/mL = 55.56 gtt/min, rounded to 56 gtt/min. Other options are incorrect.

Question 3 of 5

An adult is admitted to the psychiatric unit with a severe phobia. She develops severe anxiety when she crosses any type of bridge. She can no longer go to work or go shopping at the mall. The day after admission, she develops a panic attack and refuses to go to occupational therapy because she has to cross a bridge-like structure to go from one area of the hospital to another. How should the nurse respond to this situation?

Correct Answer: C

Rationale: Using an alternate route avoids triggering the phobia, allowing participation in therapy while respecting her current anxiety level.

Question 4 of 5

Which condition is associated with inadequate intake of vitamin C?

Correct Answer: D

Rationale: Scurvy results from vitamin C deficiency, causing symptoms like bleeding gums and poor wound healing. The other conditions are related to different nutritional deficiencies. Physiological Adaptation

Extract:

On the day of surgery, the nurse noted the following laboratory results.


Question 5 of 5

Which one should be reported to the surgeon immediately?

Correct Answer: B

Rationale: Elevated WBC is a sign of infection, which requires immediate reporting to the surgeon to assess the need to postpone surgery.

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