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Questions 148

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Question 1 of 5

A client elects to have epidural anesthesia to relieve the discomfort of labor. Following the initiation of epidural anesthesia, the nurse should give priority to:

Correct Answer: C

Rationale: Epidural anesthesia can cause hypotension, making blood pressure monitoring a priority.

Question 2 of 5

The nurse is on a memory care unit. A client insists on leaving to go home. Which of the following should the nurse do?

Correct Answer: B

Rationale: Redirecting the client to a social activity can help distract from the desire to leave and promote engagement, which is appropriate for a client with memory issues.

Question 3 of 5

Which of the following postpartal clients is at greatest risk for hemorrhage?

Correct Answer: D

Rationale: A gravida 4 para 3 with a Caesarean section is at higher risk for hemorrhage due to uterine atony from multiple pregnancies and surgical delivery.

Question 4 of 5

A 5-month-old is diagnosed with atopic dermatitis. Nursing interventions will focus on:

Correct Answer: A

Rationale: Atopic dermatitis involves inflamed skin prone to infection, so preventing infection through gentle skin care and monitoring is a priority.

Question 5 of 5

A client scheduled for a carotid endarterectomy requires insertion of an intra-arterial blood pressure-monitoring device. The nurse plans to perform the Allen test. Which observation indicates patency of the ulnar artery?

Correct Answer: C

Rationale: The Allen test assesses collateral circulation. The hand turning pink after releasing ulnar artery pressure indicates patency, ensuring adequate blood flow if the radial artery is cannulated.

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