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Questions 158

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Question 1 of 5

A client with a history of a hiatal hernia is being taught about lifestyle modifications. The nurse should encourage the client to:

Correct Answer: A

Rationale: Maintaining a healthy weight reduces abdominal pressure, alleviating hiatal hernia symptoms. Large meals, flat sleeping, and caffeine worsen reflux.

Question 2 of 5

The nurse is performing a history on a client admitted for surgery in the morning. Which long-term medication in the client's history would be most important to report to the physician?

Correct Answer: A

Rationale: Prednisone, a corticosteroid, can affect wound healing, immune response, and adrenal function, requiring perioperative adjustments. Lisinopril (
B), Docusate (
C), and Oscal D (
D) are less likely to impact surgery acutely.

Question 3 of 5

The mother of a male child with cystic fibrosis tells the nurse that she hopes her son's children won't have the disease. The nurse is aware that:

Correct Answer: B

Rationale: Cystic fibrosis often causes infertility in males due to congenital absence of the vas deferens, making most males sterile. This reduces the likelihood of passing the disease to offspring.

Question 4 of 5

A gravida 2 para 1 client delivered a full-term newborn 12 hours ago. The nurse finds her uterus to be boggy, high, and deviated to the right. The most appropriate nursing action is to:

Correct Answer: D

Rationale: A full bladder is the most common cause of uterine displacement; having the client void addresses this before further interventions.

Question 5 of 5

The physician has prescribed metoclopramide (Reglan). When assessing the client, the nurse would expect to find which of the following responses?

Correct Answer: B

Rationale: This response is expected with metoclopramide, in addition to increasing gastric emptying.

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