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Question 1 of 5

A pregnant client at 36 weeks' gestation has partial placenta previa and has been on bedrest at home for the previous 4 weeks. The client has started to have occasional contractions and is beginning to experience increasing vaginal bleeding. What intervention does the nurse anticipate?

Correct Answer: D

Rationale: Increasing bleeding with placenta previa at 36 weeks requires cesarean delivery (
D) to prevent hemorrhage.
Tocolytics (
A), induction (
B), or transfusions (
C) are not primary interventions.

Question 2 of 5

The physician has ordered a histoplasmosis test for the elderly client. The nurse is aware that histoplasmosis is transmitted to humans by:

Correct Answer: D

Rationale: Histoplasmosis is a fungal infection transmitted through inhalation of spores from bird or bat droppings.

Question 3 of 5

The client admitted 2 days earlier with a lung resection accidentally pulls out the chest tube. Which action by the nurse indicates understanding of the management of chest tubes?

Correct Answer: C

Rationale: Covering the insertion site with Vaseline gauze prevents air from entering the pleural space, which is the priority action for a dislodged chest tube.

Question 4 of 5

The nurse is caring for a client who is receiving chemotherapy for leukemia. The client’s latest laboratory results show a white blood cell count of 2,000/mm³. Which of the following nursing actions is the HIGHEST priority?

Correct Answer: C

Rationale: a white blood cell count of 2,000/mm³ indicates neutropenia, and initiating neutropenic precautions is the priority to prevent infection

Question 5 of 5

A client asks what diabetes mellitus does to the body over time. Which condition should the nurse include in teaching as a common chronic complication of diabetes mellitus?

Correct Answer: D

Rationale: Retinopathy is a common chronic complication of diabetes due to long-term damage to retinal blood vessels, unlike the acute conditions listed.

Similar Questions

During the change of shift report, the nurse states that the client's last pulse strength was a 1+. The oncoming nurse recognizes that the client's pulse was:
A client arrives at the emergency department in her third trimester of pregnancy with painless vaginal bleeding. Which condition is suspected?
A client has had a central catheter inserted for administration of parenteral nutrition. An X-ray was taken to ensure correct positioning prior to commencing infusions. The X-ray report indicates that the catheter tip is in the right atrium. Which of the following actions by the nurse is correct?
The nurse is assessing a client with suspected myasthenia gravis. Which of the following findings would the nurse expect?
A client being treated with sodium warfarin has an INR of 8.0. Which intervention would be most important to include in the nursing care plan?

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