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Questions 164

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Question 1 of 5

An adult client is to have a portable chest x-ray in his room. The client's wife and pregnant daughter are visiting. Which action is essential for the nurse?

Correct Answer: D

Rationale: Removing visitors, especially a pregnant woman, minimizes radiation exposure, the essential safety action during a chest x-ray.

Question 2 of 5

The nurse is caring for a client with irritable bowel syndrome. Which of the following menu selections would be appropriate to offer the client?

Correct Answer: C

Rationale: Baked chicken, brown rice, and strawberries are low-FODMAP, suitable for IBS. Beans, yogurt, coffee, and broccoli are high-FODMAP, likely to trigger symptoms.

Question 3 of 5

Which of these women in the labor and delivery unit would the nurse check first when the water breaks (ROM) for all of them within a 2 minute period?

Correct Answer: B

Rationale: A multigravida with station at -1, contractions at 15 minutes apart with duration of 30 seconds, cervix dilated at 3 cm, and 10% effacement. When the station is -1 or -2 and the water breaks, the risk is greater for a prolapsed cord.

Question 4 of 5

The nurse on a pediatric unit is caring for a 2-year-old client. Which of the following interventions are appropriate to reduce the distress of hospitalization on the child? Select all that apply.

Correct Answer: B,C,E

Rationale: Maintaining sleep routines, offering preferred snacks, and providing toy choices reduce distress by promoting familiarity and autonomy. Leaving alone or discussing body changes may increase anxiety.

Question 5 of 5

The nurse is assisting at a disaster shelter setup following a devastating earthquake. What is the most common problem the nurse is likely to see in those who come to the shelter?

Correct Answer: C

Rationale: Stress is the most common issue post-disaster due to trauma and displacement, affecting most survivors. Thirst, injuries, or medical exacerbations are less universal.

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