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Questions 149

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Question 1 of 5

If the first day of a pregnant woman's last menstrual period fell on May 1, 2013, what is the expected delivery month and year? Record your answer using the month (word) and year (whole number).

Correct Answer: Feb-14

Rationale: Using Naegele's rule: May 1, 2013 + 7 days = May 8, then + 9 months = February 8, 2014. Answer is February 2014.

Question 2 of 5

The nurse is caring for a client with myasthenia gravis who is having trouble breathing. The nurse would encourage which of the following positions for maximal lung expansion?

Correct Answer: D

Rationale: Sitting or high Fowler's position maximizes lung expansion and diaphragmatic movement, critical for myasthenia gravis patients with respiratory weakness.

Question 3 of 5

The physician has ordered increased oral hydration for a client with renal calculi. Unless contraindicated, the recommended oral intake for helping with the removal of renal calculi is:

Correct Answer: D

Rationale: A fluid intake of 200 mL per hour promotes urine output to facilitate stone passage.

Question 4 of 5

After a traumatic accident, the client must have his left arm amputated in an emergency procedure. When the client wakes from anesthesia and sees his arm has been amputated, he becomes extremely distressed. He cries uncontrollably and yells about how angry he is at the doctor. The best therapeutic action from the nurse is

Correct Answer: B

Rationale: Sitting quietly with the client provides emotional support, allowing him to process grief and anger without judgment.

Question 5 of 5

An infant who weighs 8 pounds at birth would be expected to weigh how many pounds at 1 year?

Correct Answer: D

Rationale: Infants typically triple their birth weight by 1 year; 8 pounds x 3 = 24 pounds.

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