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Question 1 of 5

A client diagnosed with cirrhosis is started on lactulose (Cephulac). The main purpose of the drug for this client is to

Correct Answer: B

Rationale: Lactulose blocks the absorption of ammonia from the GI tract and secondarily stimulates bowel elimination.

Question 2 of 5

The nurse is caring for a client with spontaneous rupture of membranes. The nurse notes a loop of umbilical cord protruding from the vagina. Which of the following actions should the nurse take?

Correct Answer: D

Rationale: Umbilical cord prolapse is an emergency requiring the knee-chest position to relieve cord compression. Suprapubic pressure and McRoberts are for shoulder dystocia, and Leopold maneuvers are for fetal positioning assessment.

Question 3 of 5

A client who has a known history of cardiac problems and is still smoking enters the clinic complaining of sudden onset of sharp, stabbing pain that intensifies with a deep breath. The pain is occurring on only one side and can be isolated upon general assessment. The nurse concludes that this description is most likely caused by:

Correct Answer: A

Rationale: Pleurisy is an inflammation of the pleura and is often accompanied by abrupt onset of pain. Symptoms of pleurisy are abrupt pain that is usually unilateral and localized to a specific portion of the chest.

Question 4 of 5

An adult comes to the clinic with complaints of frequency and burning on urination. The nurse expects that what test will be ordered for the client?

Correct Answer: A

Rationale: Frequency and burning suggest urinary tract infection; a clean catch urine culture identifies the causative organism and antibiotic sensitivity. CBC, cystoscopy, or straining are less immediate.

Question 5 of 5

The drug of choice for managing status epilepticus is:

Correct Answer: B

Rationale: Diazepam is the first-line treatment for status epilepticus due to its rapid onset in stopping seizures.

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