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Questions 158

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Extract:


Question 1 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 2 of 5

The nurse is ready to begin an exam on a nine-month-old infant who is sitting quietly on his mother's lap. Which should the nurse do first?

Correct Answer: B

Rationale: When examining an infant, the nurse should start with the least invasive procedures to maintain the infant’s calm state. Listening to heart and lung sounds is non-invasive and can be done while the infant is quiet. Checking the Babinski reflex, palpating the abdomen, or checking tympanic membranes may cause discomfort and disrupt the exam.

Question 3 of 5

The nurse is performing an assessment on a client with a history of a thyroidectomy. Which finding suggests the client is experiencing hypocalcemia?

Correct Answer: A

Rationale: Hypocalcemia post-thyroidectomy (due to parathyroid damage) causes muscle twitching or tetany from low calcium levels. Nausea, chest pain, and fever are less specific.

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

A client with a history of heart failure is admitted with complaints of edema. The nurse should give priority to:

Correct Answer: A

Rationale: Diuretics reduce edema in heart failure, improving fluid balance and symptoms.

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