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Questions 148

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Question 1 of 5

The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:

Correct Answer: C

Rationale: Sitz baths relieve episiotomy pain by promoting circulation and healing.

Question 2 of 5

A client with obsessive compulsive personality disorder annoys his coworkers with his rigid-perfectionistic attitude and his preoccupation with trivial details. An important nursing intervention for this client would be:

Correct Answer: D

Rationale: Setting a time schedule helps the client manage perfectionistic tendencies by structuring tasks, reducing preoccupation with trivial details.

Question 3 of 5

A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

Correct Answer: A

Rationale: A Protime of 120 seconds indicates excessive anticoagulation, increasing the risk of bleeding, so assessing for abnormal bleeding is the most important intervention.

Question 4 of 5

The nurse is caring for an adult who had an appendectomy 6 hours ago. Which intervention would the nurse expect to perform to promote rest and sleep? Select all that apply.

Correct Answer: B, C, D

Rationale: Ambien, a cool room, and fresh linens promote rest. A heavy meal may disrupt sleep post-surgery.

Question 5 of 5

A 13-year-old female has been diagnosed with celiac disease. Which of the following dinner trays would be acceptable?

Correct Answer: A

Rationale: Celiac disease requires a gluten-free diet. Option A (chicken, carrots, potato) is gluten-free, while others contain gluten (wheat bread, spaghetti, flour tortillas).

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