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Questions 160

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Extract:


Question 1 of 5

A pregnant client in the third trimester calls the obstetrician's office and reports to the nurse that she has had a severe headache for the past 2 days. Which nursing action is most appropriate?

Correct Answer: D

Rationale: A severe headache in the third trimester may indicate preeclampsia, a medical emergency. Immediate evaluation is critical.

Question 2 of 5

Which instruction regarding rescue breathing is important to include in the parent-teaching plan when a newborn is at risk for sudden infant death syndrome (SIDS)?

Correct Answer: B

Rationale: For infant rescue breathing, covering the nose and mouth and blowing just enough air to make the chest rise ensures effective ventilation without overinflation.

Question 3 of 5

The nurse assists with the delivery of a stillborn infant who is gestationally small with a malformed cranium. To promote the parents' grieving process, which nursing action is most appropriate?

Correct Answer: A

Rationale: Allowing parents to see and touch the stillborn infant facilitates grieving by making the loss tangible and fostering closure.

Question 4 of 5

A client with a history of glaucoma is prescribed timolol eye drops. Which instruction should the nurse include?

Correct Answer: A

Rationale: Applying pressure to the inner canthus (nasolacrimal occlusion) prevents systemic absorption of timolol.

Question 5 of 5

A client with a fractured femur is in skeletal traction. Which nursing action is essential to prevent complications?

Correct Answer: A

Rationale: Weights must hang freely to maintain proper traction and alignment of the fracture.

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