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Question 1 of 5

The client is having fetal heart rates of 100-110 beats per minute during the contractions. The first action the nurse should take is to:

Correct Answer: B

Rationale: Turning the client to her side improves uteroplacental perfusion, addressing fetal bradycardia during contractions.

Question 2 of 5

A client with acute leukemia develops a low white blood cell count. In addition to the institution of isolation, the nurse should:

Correct Answer: D

Rationale: Sealed, single-serving foods reduce infection risk in neutropenic patients.

Question 3 of 5

A client with cirrhosis has developed signs of heptorenal syndrome. Which diet is most appropriate for the client at this time?

Correct Answer: C

Rationale: Low protein and low sodium diets reduce the burden on the liver and kidneys in hepatorenal syndrome.

Question 4 of 5

A client diagnosed with hepatitis B asks the nurse how the virus is transmitted. Which of the following is the correct response?

Correct Answer: B

Rationale: Hepatitis B is transmitted via blood, sexual contact, needles, and perinatally from mother to newborn.

Question 5 of 5

The client is newly diagnosed with juvenile onset diabetes. Which of the following nursing diagnoses is a priority?

Correct Answer: C

Rationale: Knowledge deficit is a priority, as education on managing juvenile diabetes is critical for long-term health and compliance.

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A client with liver failure and ascites is having a paracentesis to relieve severe dyspnea resulting from abdominal fluid accumulation. Prior to the procedure, the nurse assists the client to urinate. Which of the following is the most important reason to have the patient urinate?

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