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Questions 149

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Question 1 of 5

The client with hyperemesis gravidarum is at risk for developing:

Correct Answer: B

Rationale: Hyperemesis gravidarum causes vomiting, leading to metabolic acidosis and dehydration from fluid and electrolyte loss.

Question 2 of 5

Which client is at greatest risk for a caesarean section due to cephalopelvic disproportion (CPD)?

Correct Answer: C

Rationale: A 17-year-old primigravida is at higher risk for CPD due to a potentially underdeveloped pelvis, increasing the likelihood of cesarean delivery.

Question 3 of 5

A 2-year-old is hospitalized with suspected intussusception. Which finding is associated with intussusception?

Correct Answer: A

Rationale: Currant jelly stools, caused by blood and mucus, are a hallmark of intussusception due to intestinal obstruction.

Question 4 of 5

A client with a laryngectomy returns from surgery with a nasogastric tube in place. The primary reason for placement of the nasogastric tube is to:

Correct Answer: B

Rationale: A nasogastric tube decompresses the stomach, preventing nausea and aspiration post-laryngectomy.

Question 5 of 5

A client is admitted to the surgical unit following a transurethral prostatectomy (TURP). The nurse administers a B&O suppository to help prevent bladder spasms. The nurse would observe the client for:

Correct Answer: C

Rationale: Belladonna and opium (B&O) suppositories can cause nausea and vomiting as side effects. These are more immediate concerns than dependence or the other symptoms.

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