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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 nurse is developing a plan of care for a client with an ileostomy. The priority nursing diagnosis is:

Correct Answer: A

Rationale: Fluid volume deficit is the priority due to the risk of dehydration from high ileostomy output, which can lead to electrolyte imbalances and other complications.

Question 3 of 5

Which diet is associated with an increased risk of colorectal cancer?

Correct Answer: C

Rationale: A diet high in fat and refined carbohydrates increases the risk of colorectal cancer due to prolonged intestinal transit time and exposure to carcinogenic metabolites.

Question 4 of 5

The newly graduated nurse is caring for an elderly client on the medical-surgical floor. The nurse recalls learning about client advocacy. Which actions by the nurse indicate an understanding of client advocacy? Select all that apply.

Correct Answer: C,D,E

Rationale: Ensuring understanding of treatment options, obtaining an interpreter, and discussing advance directives promote client autonomy and rights. Other actions assume incapacity or impose personal views.

Question 5 of 5

The nurse is assisting a client who is to undergo a thoracentesis. Which of the following is the optimal position for the procedure?

Correct Answer: D

Rationale: The upright position leaning forward (
D) maximizes lung expansion and access to pleural fluid during thoracentesis.

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