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Questions 148

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Extract:


Question 1 of 5

The client presents to the emergency room with a hyphema. Which action by the nurse would be best?

Correct Answer: A

Rationale: Elevating the head and applying ice reduces intraocular pressure and swelling in hyphema, a bleed in the eye.

Question 2 of 5

The client delivered a 9-pound infant two days ago. An effective means of managing discomfort from an episiotomy is:

Correct Answer: C

Rationale: Sitz baths relieve episiotomy pain by promoting circulation and healing.

Question 3 of 5

A client with a missed abortion at 29 weeks gestation is admitted to the hospital. The client will most likely be treated with:

Correct Answer: C

Rationale: Dinoprostone is used to induce uterine contractions and facilitate expulsion in a missed abortion.

Question 4 of 5

During a unit card game, a client with acute mania begins to sing loudly as she starts to undress. The nurse should:

Correct Answer: D

Rationale: Covering the client and escorting her to a private area maintains dignity and safety, addressing the inappropriate behavior calmly.

Question 5 of 5

A nurse is caring for an 84-year-old client who is malnourished. The nurse is concerned about all of the following complications of malnutrition EXCEPT

Correct Answer: C

Rationale: Malnutrition increases fall risk, impairs wound healing, and raises infection risk due to weakened immunity. Chronic heart failure is not directly caused by malnutrition.

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