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Questions 158

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Question 1 of 5

A client is pregnant with her second child. Her last menstrual period began on January 15. Her expected date of delivery would be:

Correct Answer: C

Rationale: Using Nägele's rule, subtract 3 months and add 7 days from January 15, resulting in October 22.

Question 2 of 5

The nurse is caring for a laboring client. Assessment data include cervical dilation 9 cm; contractions every 1-2 minutes; strong, large amount of 'bloody show.' The most appropriate nursing goal for this client would be:

Correct Answer: C

Rationale: In transition (9 cm dilation, frequent contractions), helping the client maintain control is critical due to intense contractions and emotional challenges.

Question 3 of 5

A client with a diagnosis of Amyotrophic Lateral Sclerosis (ALS) has been prescribed riluzole (Rilutek). Which does the nurse include when teaching the client about this drug?

Question Image

Correct Answer: A, C, D, E

Rationale: Riluzole teaching includes avoiding alcohol (
A), reporting fever (
C), consistent timing (
D), and regular lab monitoring (E). Taking with food (
B) is not required.

Question 4 of 5

The nurse is caring for a client with a history of a fractured pelvis who is in skeletal traction. The nurse should:

Correct Answer: D

Rationale: Monitoring for infection at pin sites prevents osteomyelitis in skeletal traction. Turning is limited, weights must hang freely, and lotion is unnecessary.

Question 5 of 5

Which of the following interventions will be useful for the patient with Alzheimer's dementia who exhibits prosopagnosia?

Correct Answer: B

Rationale: Prosopagnosia is the inability to recognize faces. Labeled pictures of family and friends can help the patient identify familiar people improving social interaction and reducing confusion. The other options do not directly address face recognition.

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