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Questions 148

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Extract:


Question 1 of 5

Lochia serosa usually is evident on days 4 to 10 postpartum. When teaching the client about postpartum care, how should the nurse describe lochia serosa?

Correct Answer: C

Rationale: Lochia serosa, days 4-10 postpartum, is pinkish to brownish (
C) due to decreased blood and increased serous fluid. Dark red (
A) is lochia rubra, yellowish (
B) or clear (
D) are not typical.

Question 2 of 5

A nurse must teach a client how to do wound care and dressing changes prior to discharge. Which of the following are barriers to learning? Select all that apply.

Correct Answer: B,C,F

Rationale: Barriers to learning include fear (
B), which can hinder concentration; illiteracy (
C), which affects understanding written instructions; and hearing impairment (F), which impedes verbal communication. Age 55 (
A), weakness (
D), and asking questions (E) are not barriers.

Question 3 of 5

A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

Correct Answer: D

Rationale: A high-calorie, high-protein, low-fat diet helps maintain weight and muscle mass in clients with AIDS while minimizing gastrointestinal complications.

Question 4 of 5

Which of the following groups of neonates should be screened for hearing loss?

Correct Answer: D

Rationale: Universal newborn hearing screening is recommended for all neonates (
D) to detect hearing loss early. Premature neonates (
A), those with risk factors (
B), or abnormal Apgar scores (
C) are included but not exclusive.

Question 5 of 5

The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:

Correct Answer: D

Rationale: Quinidine can prolong the QT interval, increasing the risk of torsades de pointes.

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