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Questions 149

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Extract:


Question 1 of 5

A vaginal exam reveals a footling breech presentation. The nurse should take which of the following actions at this time?

Correct Answer: A

Rationale: Footling breech presentation often requires a Caesarean section due to risks of cord prolapse and delivery complications.

Question 2 of 5

A client sustained a severe head injury to the occipital lobe. The nurse should carefully assess the client for:

Correct Answer: A

Rationale: The occipital lobe processes visual information, so injury to this area is likely to cause visual disturbances, such as blurred vision or visual field deficits.

Question 3 of 5

A client who has been taking Coumadin (warfarin) was stabbed in the upper arm. His prothrombin time is over twice the normal amount. The nurse anticipates an order for

Correct Answer: A

Rationale: Elevated prothrombin time indicates excessive anticoagulation. Fresh frozen plasma provides clotting factors to reverse warfarin’s effect and control bleeding.

Question 4 of 5

The physician has ordered a serum aminophylline level for a client with chronic obstructive lung disease. The nurse knows that the therapeutic range for aminophylline is:

Correct Answer: D

Rationale: The therapeutic range for aminophylline is 10-20 micrograms/mL to effectively manage symptoms of chronic obstructive lung disease.

Question 5 of 5

A 52-year-old client is undergoing menopause. Which of the following physical sign or symptom is often attributed to decreased estrogen production associated with menopause?

Correct Answer: C

Rationale: Decreased estrogen in menopause often leads to increased fat deposits on hips and abdomen (
C). Weight loss (
A), excessive sleeping (
B), and increased metabolic rate (
D) are not typical.

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