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Question 1 of 5

The client is admitted at 32 weeks gestation with a diagnosis of gestational hypertension. Which assessment finding is most significant?

Correct Answer: A

Rationale: Proteinuria of 2+ is a significant finding in gestational hypertension as it suggests progression to preeclampsia which can lead to severe complications. BP of 140/90 edema and weight gain are concerning but less specific without proteinuria.

Question 2 of 5

A physician's order reads: Administer furosemide oral solution 0.5 mL stat. The furosemide bottle dosage is 10 mg/mL. What dosage of furosemide should the nurse give to this infant?

Correct Answer: A

Rationale: 1 mg = 0.1 mL, then 0.5 mL X = 5 mg.

Question 3 of 5

The nurse is caring for a client with a history of a pneumothorax who is being prepared for discharge. The nurse should teach the client to:

Correct Answer: A

Rationale: Air travel can cause pressure changes that risk pneumothorax recurrence. Sleeping position, lifting, and fluids are secondary, with lifting typically restricted.

Question 4 of 5

The client is admitted with a diagnosis of postpartum depression. Which vital sign change is most likely to be observed?

Correct Answer: A

Rationale: Postpartum depression is a psychological condition and typically does not cause vital sign changes. Fever tachycardia or hypotension suggest physical conditions like infection or hemorrhage.

Question 5 of 5

The nurse is caring for a client with a history of Addison’s disease. The nurse should expect the client to have:

Correct Answer: A

Rationale: Addison’s disease causes adrenal insufficiency, reducing cortisol and aldosterone, leading to hypotension due to fluid and sodium loss.

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