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Questions 149

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Extract:


Question 1 of 5

The client is admitted to the unit. A vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?

Correct Answer: D

Rationale: At 3 cm dilation (early labor), clients often inquire about pain relief options like an epidural.

Question 2 of 5

The nurse is caring for a group of clients who are experiencing pain. Which client is the priority for the nurse to see first?

Correct Answer: C

Rationale: Severe chest pain from an acute MI is life-threatening, making this client the priority for immediate assessment and intervention.

Question 3 of 5

A teenage girl is brought to the outpatient psychiatric clinic for treatment of anxiety and depression. How should the nurse best evaluate the client's risk for suicide?

Correct Answer: A

Rationale: Directly asking about suicidal thoughts or plans is the most effective way to assess suicide risk, as it encourages open communication and identifies intent.

Question 4 of 5

The nurse is performing discharge teaching on a client at high risk for the development of skin cancer. Which instruction should be included in the client teaching?

Correct Answer: D

Rationale: Wearing sunscreen is a key preventive measure for skin cancer, reducing UV exposure, and should be emphasized in teaching.

Question 5 of 5

The client with an ileostomy is being discharged. Which teaching should be included in the plan of care?

Correct Answer: C

Rationale: Stomahesive provides effective skin protection around the ileostomy, preventing irritation and ensuring a secure seal.

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