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Question 1 of 5

A primigravida, 26 years old and 33 weeks gestation, is admitted to the hospital with painless vaginal bleeding. She reports that the bleeding, which started 2 hours ago, has lessened in amount. Which of the following measures should be included in the client's care?

Correct Answer: B

Rationale: Counting the number of pads used quantifies blood loss, aiding in the assessment of conditions like placenta previa, which causes painless bleeding.

Question 2 of 5

The nurse is caring for an adult who had a transsphenoidal hypophysectomy earlier today. The client is now on the surgical unit after an uneventful stay in the postanesthesia care unit. How should the nurse position the client?

Correct Answer: C

Rationale: Semi-reclining reduces intracranial pressure and prevents cerebrospinal fluid leakage post-transsphenoidal hypophysectomy. Supine increases leakage risk, and upright or side-lying are less optimal.

Question 3 of 5

The nurse should teach parents of small children that the most common type of first-degree burn is:

Correct Answer: D

Rationale: Sunburn is the most common first-degree burn in children due to frequent sun exposure without adequate protection. Education on sunscreen use is critical. Safety and Infection Control

Question 4 of 5

Acyclovir is the drug of choice for:

Correct Answer: B

Rationale: Acyclovir is specifically effective against herpes simplex virus (HSV) types 1 and 2 and varicella-zoster virus (VZV) by inhibiting viral DNA replication. It is not the drug of choice for HIV, CMV, or influenza A. Physiological Adaptation

Question 5 of 5

An adult asks the nurse why she must have her skin shaved prior to surgery. What is the best nursing response? Reducing the hair by shaving:

Correct Answer: A

Rationale: Shaving reduces infection risk by removing hair, which can harbor bacteria, the primary rationale for preoperative skin preparation.

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