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Questions 158

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Question 1 of 5

An obstetrical client with diabetes has an amniocentesis at 28 weeks gestation. Which test indicates the degree of fetal lung maturity?

Correct Answer: D

Rationale: The lecithin-sphingomyelin (L/S) ratio measures fetal lung maturity by assessing surfactant production, critical for preventing respiratory distress syndrome in preterm infants.

Question 2 of 5

Which of the following activities would be most appropriate during occupational therapy for a client with bipolar disorder?

Correct Answer: C

Rationale: This activity is too competitive, and the manic client might become abusive toward the other clients. During mania, the client's attention span is too short to accomplish this task. This activity uses gross motor skills, eases tension, and expands excess energy. A staff member is better equipped to interact therapeutically with clients. This activity requires the use of fine motor skills and is very tedious.

Question 3 of 5

The nurse is teaching a client with a history of atrial fibrillation about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Anticoagulants reduce stroke risk in atrial fibrillation, so adherence is critical.

Question 4 of 5

Place in sequence from 1-5 the proper order for introducing items to the infant's diet.

Order the Items

Source Container

Strained meats
Whole milk
Rice cereal
Fruits
Vegetables

Correct Answer: C, D, E, A, B

Rationale: Infant diet sequence: rice cereal (
C) at 6 months, then fruits (
D) and vegetables (E), strained meats (
A) around 7-8 months, and whole milk (
B) after 12 months.

Question 5 of 5

Which clients can be assigned to share a room in the emergency department during a disaster?

Correct Answer: B

Rationale: A pregnant client and a client with a fractured arm have stable non-infectious conditions suitable for sharing a room. The other pairs include clients with unstable (cyanosis abdominal wound chest pain) or infectious (MRS
A) conditions or psychiatric issues requiring isolation.

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