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Questions 227

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Extract:


Question 1 of 5

A nurse is caring for a pregnant patient in her third trimester. Which of the following findings should be reported immediately?

Correct Answer: C

Rationale: Severe headache and visual disturbances may indicate preeclampsia, a life-threatening condition requiring immediate reporting. Mild edema, heartburn, and frequent urination are common in the third trimester.

Extract:

Rosemarie is 24 years old, G1P0, admitted with a diagnosis of Multiple Sclerosis.


Question 2 of 5

The nurse observes indications of positive response from treatments and signs that the patient is recovering from the disease by which of the following assessment data?

Correct Answer: D

Rationale: Multiple Sclerosis temporarily affects both sensory and motor functions. Being able to walk with a stable gait is a sign that the motor function is returning to normal.

Extract:

After a craniotomy for the removal of hematoma sustained in a fall, the patient is returned to the recovery room.


Question 3 of 5

The nurse places the child in a semi-fowler's position to

Correct Answer: A

Rationale: This position utilizes gravity to drain fluid from the head and prevent fluid accumulation, reducing the risk of increased intracranial pressure.

Extract:


Question 4 of 5

A nurse is teaching a patient about a low-sodium diet. Which of the following foods should the patient avoid?

Correct Answer: B

Rationale: Canned soups are high in sodium, worsening conditions like hypertension or heart failure. Fresh fruits, whole grains, and lean meats are low-sodium and appropriate for the diet.

Question 5 of 5

Assessment of the client with an arteriovenous fistula for hemodialysis should include:

Correct Answer: B

Rationale: Palpating a thrill confirms the patency of an AV fistula. Visible pulsation is not typical, percussion is irrelevant, and blood pressure is not auscultated in the fistula limb. Physiological Adaptation

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