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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

An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

Correct Answer: C

Rationale: Lactated Ringer's is isotonic and effective for correcting dehydration in obstetric clients, replacing fluids and electrolytes.

Question 3 of 5

A school nurse is approached by a student who says that her friend has been cutting herself on the arms. The student asks the nurse not to tell anyone. Which response by the nurse is correct?

Correct Answer: A

Rationale: Self-harm indicates a safety risk, requiring parental notification to ensure the student receives appropriate intervention.

Question 4 of 5

A 32-year-old male client has just undergone a liver biopsy and is released to the post-op floor for observation. The nurse should have the client lie in what position?

Correct Answer: B

Rationale: Lying on the right side applies pressure to the liver biopsy site, reducing bleeding risk.

Question 5 of 5

A preterm infant with sepsis is receiving Gentamycin (garamycin). Which physiological alteration places the preterm infant at increased risk for toxicity related to aminoglycoside therapy?

Correct Answer: D

Rationale: The immature renal system in preterm infants reduces the ability to excrete aminoglycosides like Gentamycin, increasing the risk of toxicity.

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Nurses must be familiar with the American Nurses Association (ANA) Code of Ethics for Nurses. The nurse understands that which ethical principle is defined as the nurse's duty to do no harm? Fill in the blank.

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