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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

The nurse has an order to administer 100 units of regular insulin in 500 mL of 0.9% NS to infuse at 12 units per hour. The nurse should program the IV pump to deliver how many mLs per hour?

Correct Answer: 60

Rationale: Concentration: 100 units/500 mL = 0.2 units/mL.
To deliver 12 units/hour: 12 ÷ 0.2 = 60 mL/hour.

Question 3 of 5

The nurse is caring for a client with cerebral palsy. The nurse should provide frequent rest periods because:

Correct Answer: A

Rationale: Rest reduces spasticity and involuntary movements in cerebral palsy.

Question 4 of 5

According to Maslow's hierarchy of needs, order the following needs from most basic to most advanced (bottom of the pyramid to the top):

Order the Items

Source Container

safety and security
esteem
physiological
love and belonging
self-actualization

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

Rationale: Maslow’s hierarchy: physiological (most basic), safety and security, love and belonging, esteem, self-actualization (most advanced).

Question 5 of 5

A client with Crohn's disease requires TPN to provide adequate nutrition. The nurse finds the TPN bag empty. What fluid would the nurse select to hang until another bag is prepared in the pharmacy?

Correct Answer: C

Rationale: D10W provides dextrose to prevent hypoglycemia, a risk when TPN (high in glucose) is abruptly stopped. Saline or other fluids don't provide necessary glucose.

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