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Questions 160

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Question 1 of 5

A client with a history of osteoarthritis reports joint stiffness. Which nursing intervention is most appropriate?

Correct Answer: C

Rationale: Gentle range-of-motion exercises reduce stiffness and maintain joint mobility in osteoarthritis.

Question 2 of 5

Which of the following clients is at the greatest risk of developing maternal and fetal complications during pregnancy? Select all that apply.

Correct Answer: A,D,E

Rationale: Restricting food intake can lead to malnutrition, increasing fetal risks. Advanced maternal age (36) increases complications like gestational diabetes. Refusing prenatal vitamins can cause deficiencies, affecting fetal development.

Question 3 of 5

A nurse massages the uterus of a postpartum client. Which assessment finding best indicates that the intended effect of this nursing action has been achieved?

Correct Answer: B

Rationale: Uterine massage prevents postpartum hemorrhage by promoting uterine firmness (contraction), indicating effective action.

Question 4 of 5

A client with a history of multiple sclerosis reports blurred vision. Which nursing intervention is most appropriate?

Correct Answer: D

Rationale: Blurred vision in multiple sclerosis may indicate optic neuritis, requiring specialist evaluation.

Question 5 of 5

When developing the care plan of a client who has a nasogastric (NG) tube for gastric decompression, which nursing order should be modified because it is considered unsafe?

Correct Answer: A

Rationale: Liberal fluid intake is unsafe for a client with an NG tube for decompression, as it may increase gastric contents and risk aspiration.

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