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Questions 148

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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: abnormal finding, could indicate gestational diabetes (GDM), hazard of placental insufficiency

Question 2 of 5

The teenager with a fiberglass cast asks the nurse if it will be okay to allow his friends to autograph his cast. Which response would be best?

Correct Answer: A

Rationale: Autographing a fiberglass cast does not compromise its integrity, making it safe.

Question 3 of 5

The nurse has performed discharge teaching to a client in need of a high-iron diet. The nurse recognizes that teaching has been effective when the client selects which meal plan?

Correct Answer: B

Rationale: Veal and spinach are high in iron, and whole-wheat roll provides additional nutrients. The other meals lack significant iron sources.

Question 4 of 5

The nurse is caring for a client admitted with congestive heart failure. Which finding would the nurse expect if the failure was on the right side of the heart?

Correct Answer: A

Rationale: Right-sided heart failure causes systemic venous congestion, leading to jugular vein distention, a hallmark sign of impaired right heart function.

Question 5 of 5

A client has suffered a severe electrical burn. Which medication would the nurse expect to have ordered for application to the burned area?

Correct Answer: D

Rationale: Silver sulfadiazine (Silvadene) is commonly used for electrical burns due to its broad-spectrum antimicrobial properties and soothing effect on burn wounds.

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