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Questions 158

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Question 1 of 5

The client is admitted with a diagnosis of molar pregnancy. Which intervention is most appropriate?

Correct Answer: A

Rationale: Molar pregnancy involves abnormal trophoblastic tissue and no viable fetus often causing vaginal bleeding. Monitoring for bleeding is critical.
Tocolytics cesarean delivery and fetal monitoring are not indicated.

Question 2 of 5

The nurse is evaluating the laboratory value results of a client after a craniotomy for a pituitary tumor. Which values cause the nurse to suspect a diabetes insipidus complication?

Question Image

Correct Answer: A, B

Rationale: Diabetes insipidus causes dilute urine (low specific gravity,
A) and hypernatremia (158 mEq/L,
B) from excessive water loss. Potassium (
C), hemoglobin (
D), and chloride (E) are normal and unrelated.

Question 3 of 5

Which statement describes the contagious stage of varicella?

Correct Answer: D

Rationale: Varicella (chickenpox) is contagious from 1-2 days before the rash until all lesions are crusted, as the virus is shed during this period. Earlier or later stages are less contagious.

Question 4 of 5

The nurse has just received the change of shift report. Which client should the nurse assess first?

Correct Answer: B

Rationale: A suspected subdural hematoma is a medical emergency due to potential brain compression, requiring immediate assessment.

Question 5 of 5

A client with a gastrointestinal bleed has an NG tube to low continuous wall suction. Which technique is the correct procedure for the nurse to utilize when assessing bowel sounds?

Correct Answer: B

Rationale: Clamping the NG tube prevents suction noise, allowing accurate auscultation of bowel sounds. pH testing (
A) assesses gastric contents, irrigation (
C) is for patency, and high suction (
D) interferes with auscultation.

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