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Extract:


Question 1 of 5

A diabetic multigravida is scheduled for an amniocentesis at 32 weeks gestation to determine the L/S ratio and phosphatidyl glycerol level. The L/S ratio is 1:1 and the presence of phosphatidyl glycerol is noted. The nurse's assessment of this data is:

Correct Answer: C

Rationale: An L/S ratio of 1:1 and presence of phosphatidyl glycerol suggest immature lungs, indicating a high risk for respiratory distress syndrome, so C is correct. Answers A, B, and D are not directly related to these findings.

Question 2 of 5

The nurse reinforces teaching about methotrexate to a client with rheumatoid arthritis. It is most important to address which topic regarding this drug?

Correct Answer: C

Rationale: Methotrexate suppresses the immune system, significantly increasing the risk for infection (
C). This is a critical teaching point to ensure the client takes precautions. Eye exams (
A), sunblock (
B), and kidney injury (
D) are less directly associated with methotrexate's primary risks.

Question 3 of 5

The nurse is caring for an assigned team of clients. Which client is the priority for the nurse at this time?

Correct Answer: C

Rationale: An aura (
C) indicates an impending seizure, requiring immediate intervention to ensure safety. Guillain-Barré (
A), multiple sclerosis (
B), and fibromyalgia (
D) are less acute at this moment.

Question 4 of 5

The nurse is caring for a client with polycythemia vera. Which of the following actions should the nurse take? Select all that apply.

Correct Answer: A, B, C

Rationale: Increased fluids (
A), phlebotomy (
B), and aspirin (
C) manage polycythemia vera by reducing blood viscosity and clotting risk. Leg elevation (
D) is irrelevant, and iron supplementation (E) worsens the condition.

Extract:

Vital signs
Temperature 95 F (35 C)
Blood pressure 90/50 mm Hg
Heart rate 50/min
Respirations 6/min
SpO2 83%


Question 5 of 5

The nurse is caring for a client with hypothyroidism who has become lethargic and difficult to rouse. Which action is the priority?

Correct Answer: B

Rationale: Lethargy and unresponsiveness in hypothyroidism suggest myxedema coma, requiring immediate airway management with ventilation (
B). Levothyroxine (
A), warming (
C), and lab review (
D) are secondary.

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