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Questions 149

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Question 1 of 5

A client with a history of phenylketonuria (PKU) is seen in the local family planning clinic. While completing the intake history, the nurse provides information for a healthy pregnancy. Which statement indicates that the client needs further teaching?

Correct Answer: A

Rationale: Artificial sweeteners like aspartame contain phenylalanine, which is harmful in PKU, so the client's statement indicates a need for further teaching.

Question 2 of 5

The client with AIDS tells the nurse that he has been using acupuncture to help with his pain. The nurse should question the client regarding this treatment because acupuncture uses:

Correct Answer: C

Rationale: Acupuncture uses needles, which pose an infection risk in immunocompromised AIDS patients, requiring further discussion.

Question 3 of 5

A pregnant client is keeping a 'kick count' log during the last trimester. Which of the following may indicate fetal distress?

Correct Answer: C

Rationale: Fewer than 10 movements in 2 hours (
C) suggests fetal distress, as normal is >10 movements in 2 hours. Other options (A, B,
D) set incorrect thresholds.

Question 4 of 5

The nurse is teaching a client with a new diagnosis of epilepsy about self-care. Which of the following instructions should the nurse include?

Correct Answer: A

Rationale: avoiding swimming or bathing alone reduces the risk of injury during a seizure

Question 5 of 5

The physician has inserted an esophageal balloon tamponade in a client with bleeding esophageal varices. The nurse should maintain the esophageal balloon at a pressure of:

Correct Answer: D

Rationale: A pressure of 20-25 mmHg effectively compresses varices to control bleeding without causing tissue damage.

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