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Questions 158

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Question 1 of 5

A client had a transurethral resection of the prostate yesterday. He is concerned about the small amount of blood that is still in his urine. The nurse explains that the blood in his urine:

Correct Answer: C

Rationale: Some hematuria is usual for several days after surgery. The client should not be concerned about it unless it increases.

Question 2 of 5

A client with a history of testicular cancer is admitted with complaints of back pain. The nurse should give priority to:

Correct Answer: A

Rationale: Back pain in testicular cancer may indicate metastasis to retroperitoneal lymph nodes, so monitoring for metastasis is the priority.

Question 3 of 5

A client with a history of epilepsy is admitted with status epilepticus. The nurse should give priority to:

Correct Answer: B

Rationale: In status epilepticus, prolonged seizures can obstruct the airway, so protecting the airway is the priority to ensure oxygenation and prevent asphyxia.

Question 4 of 5

Following a vaginal delivery, the postpartum nurse should observe for:

Correct Answer: D

Rationale: Hemorrhage and infection are critical complications to monitor post-vaginal delivery due to potential uterine or perineal issues.

Question 5 of 5

A newborn weighed seven pounds at birth. At six months of age, the infant could be expected to weigh:

Correct Answer: A

Rationale: Infants typically double their birth weight by 6 months. A 7-pound newborn would weigh approximately 14 pounds at 6 months. The other weights are excessive or unrealistic.

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