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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

A 45-year-old male client experiences a sense of depression because he has not yet achieved his life's goals. His career has not been satisfying. He is still looking for the right job. His wife spends too much money, and his children seem to ignore him while being very selfish. He is tired of all of their attitudes and is considering buying a red Corvette convertible. While obtaining these data concerning the client's feelings about his life, the nurse is able to determine he is experiencing what psychological crisis according to Erikson's stages?

Correct Answer: D

Rationale: Identity versus role confusion is experienced by adolescents making the transition from childhood to adulthood as they attempt to develop a sense of identity. Integrity versus despair is experienced by the elderly as they reflect on their life in an attempt to find meaning. Intimacy versus isolation is experienced by young adults as they establish intimate bonds of love and friendship. Generativity versus self-absorption is experienced by middle-aged adults as they fulfill life goals that involve family, career, and society. The client is experiencing this crisis.

Question 3 of 5

The nurse is teaching the client with hepatitis B regarding transmission. The nurse should instruct the client to do which of the following?

Question Image

Correct Answer: B, E

Rationale: Hepatitis B is transmitted via blood and bodily fluids. Avoiding sharing toothbrushes (
B) prevents transmission through saliva or blood. Informing the dentist (E) ensures precautions during procedures. Eating fresh produce (
A), cleaning the commode (
C), and boiling water (
D) are unrelated to hepatitis B transmission.

Question 4 of 5

An elderly client refuses to take her daily medication for hypertension. Which action should the nurse take at this time?

Correct Answer: D

Rationale: Exploring the reason for the client’s refusal respects autonomy and may reveal misunderstandings, fears, or side effects that can be addressed. Administering by injection or with help violates autonomy, and skipping the dose delays treatment without addressing the issue.

Question 5 of 5

The FHR pattern in a laboring client begins to show early decelerations. The nurse would best respond by:

Correct Answer: C

Rationale: Early decelerations are reassuring and do not warrant notification of the physician. Because early decelerations is a reassuring pattern, it would not be necessary to change the client's position. Early decelerations warrant the continuation of close FHR monitoring to distinguish them from more ominous signs. O2 is not warranted in this situation, but it is warranted in situations involving variable and/or late decelerations.

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