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Questions 158

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Question 1 of 5

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

Correct Answer: A

Rationale: Postpartum endometritis a uterine infection typically causes foul-smelling lochia due to bacterial infection. Painful uterine tenderness is common painless bleeding suggests other causes and fetal distress is irrelevant postpartum.

Question 2 of 5

A pregnant client comes to the office for her first prenatal examination at 10 weeks. She has been pregnant twice before; the first delivery produced a viable baby girl at 39 weeks 3 years ago; the second pregnancy produced a viable baby boy at 36 weeks 2 years ago. Both children are living and well. Using the gravida and para system to record the client's obstetrical history, the nurse should record:

Correct Answer: B

Rationale: Gravida=3 (current pregnancy), Para=2 (two births after 20 weeks).

Question 3 of 5

The nurse is caring for a client post-thyroidectomy. Which assessment finding requires immediate intervention?

Correct Answer: B

Rationale: Tingling in the fingers suggests hypocalcemia due to parathyroid gland damage, risking tetany or seizures, requiring immediate intervention. Pain (
A), hoarseness (
C), and mild fever (
D) are expected post-op.

Question 4 of 5

Which person is at greatest risk for developing Lyme disease?

Correct Answer: D

Rationale: Landscapers are at higher risk for Lyme disease due to frequent outdoor exposure in areas where ticks, which transmit the disease, are prevalent.

Question 5 of 5

A client is admitted with sickle cell crises and sequestration. Upon assessing the client, the nurse would expect to find:

Correct Answer: A

Rationale: Sickle cell crisis with sequestration can lead to hypovolemia due to blood pooling in organs, resulting in decreased blood pressure.

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