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Question 1 of 5

A client with a history of chronic kidney disease is admitted with complaints of edema. The nurse should expect the client to have:

Correct Answer: C

Rationale: Chronic kidney disease impairs potassium excretion, leading to hyperkalemia, which can cause cardiac complications.

Question 2 of 5

A primigravida with diabetes is admitted to the labor and delivery unit at 34 weeks gestation. Which physician's order should the nurse question?

Correct Answer: B

Rationale: Terbutaline (Brethine) a tocolytic is used to stop preterm labor but is contraindicated in diabetic patients due to its risk of causing hyperglycemia. The other medications are appropriate for preeclampsia (magnesium sulfate) pain (butorphanol) or infection prophylaxis (cefazolin).

Question 3 of 5

The client is admitted with a diagnosis of postpartum endometritis. Which symptom is most likely to be present?

Correct Answer: A

Rationale: Postpartum endometritis a uterine infection typically causes foul-smelling lochia due to bacterial infection. Painful uterine tenderness is common painless bleeding suggests other causes and fetal distress is irrelevant postpartum.

Question 4 of 5

As soon as a child has been diagnosed as 'hearing impaired,' special education should begin. Which of the following special education tasks is the most difficult for a severely hearing-impaired child?

Correct Answer: B

Rationale: With the slight and mild hard of hearing, auditory training is beneficial. Speech is the most difficult task because it is learned by visual and auditory stimulation, imitation, and reinforcement. (C,
D) Lip reading and signing are aimed at establishing communicative skills, but they are learned more easily by visual stimulation.

Question 5 of 5

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the gravida and para system to record the client's obstetrical history, the nurse should record:

Correct Answer: B

Rationale: Gravida=3 (current pregnancy), Para=2 (two births after 20 weeks).

Similar Questions

The nurse is caring for a client with a head injury who has an intracranial pressure monitor in place. Assessment reveals an ICP reading of 66. What is the nurse's best action?
A client with a history of chronic kidney disease is admitted with complaints of edema. The nurse should expect the client to have:
The physician prescribes amitriptyline (Elavil) for a client. What does the patient need to know about this medication?
The nurse is teaching a client with a history of gout about dietary modifications. The nurse should tell the client to avoid:
The nurse is caring for a client with a history of systemic lupus erythematosus. The nurse should expect the client to have:

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