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Questions 158

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Question 1 of 5

The client is admitted with a diagnosis of gestational diabetes. Which fetal monitoring technique is most appropriate?

Correct Answer: C

Rationale: Gestational diabetes increases fetal risks (e.g. macrosomia hypoglycemia) requiring close monitoring. Non-stress tests assess fetal heart rate and biophysical profiles evaluate fetal well-being comprehensively. Both are appropriate.

Question 2 of 5

The client is admitted with a diagnosis of molar pregnancy. Which symptom is most likely to be present?

Correct Answer: A

Rationale: Molar pregnancy (hydatidiform mole) often causes severe nausea and vomiting due to high levels of human chorionic gonadotropin (hCG). The uterus is typically larger than expected and fetal heart tones are absent as there is no viable fetus.

Question 3 of 5

The nurse is teaching a client with a history of hypertension about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Adherence to antihypertensives is critical in hypertension to maintain blood pressure control and prevent complications.

Question 4 of 5

A client with a history of peptic ulcer disease is admitted with severe abdominal pain. Which medication would the nurse expect to administer?

Correct Answer: B

Rationale: Omeprazole, a proton pump inhibitor, reduces acid production, aiding ulcer healing. Ibuprofen (
A) and aspirin (
C) worsen ulcers, and acetaminophen (
D) addresses pain but not acid.

Question 5 of 5

A client with pancreatitis has been transferred to the intensive care unit. The nurse assesses a pulmonary arterial wedge pressure (PAWP) of 14 mmHg. Based on this finding, the nurse would want to further assess for what additional correlating wedge pressure data?

Correct Answer: B

Rationale: PAWP of 14 mmHg is elevated, suggesting left ventricular overload. Rales (
B) indicate pulmonary edema, correlating with high PAWP. BP drop (
A), fever (
C), and dry membranes (
D) are unrelated.

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