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Questions 148

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Extract:


Question 1 of 5

A 37-year-old postpartum client explains to the nurse she had a deep vein thrombosis (DVT) after the birth of her last child. To help prevent a DVT during this hospital stay, the nurse should encourage the client to do all of the following EXCEPT

Correct Answer: C

Rationale: Ambulation promotes circulation and prevents DVT. Limiting ambulation increases risk. Stockings, hydration, and leg elevation reduce DVT risk.

Question 2 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: A

Rationale: Significant drainage post-lobectomy suggests potential hemorrhage, requiring urgent assessment.

Question 3 of 5

A client in the recovery ICU is on mechanical ventilation. The nurse notices the client has frothy secretions around his mouth, and the nurse hears adventitious breath sounds with the stethoscope. The nurse should

Correct Answer: B

Rationale: Frothy secretions and adventitious sounds suggest airway obstruction or pulmonary edema. Suctioning clears the endotracheal tube, improving ventilation.

Question 4 of 5

The orthopedic nurse should be particularly alert for a fat embolus in which of the following clients having the greatest risk for this complication after a fracture?

Correct Answer: C

Rationale: Fat embolism is most common in long bone fractures, especially the femur, and in young adults. A 21-year-old with a femur fracture is at highest risk.

Question 5 of 5

A client arrives at the emergency department in her third trimester of pregnancy with painless vaginal bleeding. Which condition is suspected?

Correct Answer: C

Rationale: Painless vaginal bleeding in the third trimester is characteristic of placenta previa, where the placenta covers the cervix.

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