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Questions 149

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Question 1 of 5

The home health nurse is visiting a client with an exacerbation of rheumatoid arthritis. To prevent deformities of the knee joints, the nurse should:

Correct Answer: B

Rationale: Encouraging movement within pain limits maintains joint mobility and prevents stiffness, reducing the risk of knee deformities in rheumatoid arthritis.

Question 2 of 5

The nurse is caring for clients on a medical/surgical unit and determines that several situations need to be addressed. Which of the following situations should the nurse attend to FIRST?

Correct Answer: D

Rationale: should assess client to determine amount and cause of bleeding

Question 3 of 5

The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?

Correct Answer: C

Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.

Question 4 of 5

At the 6-week check-up, the mother asks when she can expect the baby to sleep all night. The nurse should tell the mother that most infants begin to sleep all night by age:

Correct Answer: C

Rationale: Most infants begin to sleep through the night by 3-4 months as their sleep patterns mature.

Question 5 of 5

A client who has just undergone a laparoscopic cholecystectomy complains of 'free air pain.' What would be your best action?

Correct Answer: A

Rationale: Free air pain' after laparoscopic cholecystectomy is due to residual carbon dioxide in the abdomen. Ambulation helps disperse the gas and relieve pain.

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