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Questions 149

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Question 1 of 5

Shortly after the client was admitted to the postpartum unit, the nurse notes heavy lochia rubra with large clots. The nurse should anticipate an order for:

Correct Answer: A

Rationale: Methergine promotes uterine contractions to control postpartum hemorrhage, indicated for heavy lochia with clots.

Question 2 of 5

Which of the following are risk factors for developing glaucoma? Select all that apply.

Correct Answer: C,E

Rationale: Diabetes mellitus and hypertension increase glaucoma risk by affecting ocular blood flow and pressure. Asthma, anemia, and obesity are not direct risk factors.

Question 3 of 5

The nurse is monitoring a client's cardiac rhythm when an abnormal rhythm occurs. Which of the following cardiac rhythms does the ECG strip (see image) indicate?

Question Image

Correct Answer: B

Rationale: Without the ECG strip, ventricular tachycardia (
B) is a common abnormal rhythm requiring urgent intervention, characterized by wide QRS complexes. Other rhythms (A, C,
D) have distinct patterns.

Question 4 of 5

A client with breast cancer is returned to the room following a right total mastectomy. The nurse should:

Correct Answer: A

Rationale: Elevating the arm on pillows reduces edema and promotes lymphatic drainage post-mastectomy, aiding recovery.

Question 5 of 5

The doctor has ordered a patient-controlled analgesia (PCA) pump for the client with chronic pain. The client asks the nurse if he can become overdosed with pain medication using this machine. The nurse demonstrates understanding of the PCA if she states:

Correct Answer: B

Rationale: The PCA pump has a lockout mechanism to prevent overdosing, ensuring safe, patient-controlled dosing.

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