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Questions 149

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Question 1 of 5

The nurse asks the client with an epidural anesthesia to void every hour during labor. The rationale for this intervention is:

Correct Answer: C

Rationale: Epidural anesthesia can diminish bladder sensation, increasing the risk of urinary retention, so hourly voiding is encouraged.

Question 2 of 5

Which of the following is a characteristic of an ominous periodic change in the fetal heart rate?

Correct Answer: D

Rationale: A recurrent fetal heart rate of 90-100 bpm at contraction ends indicates severe distress, an ominous sign.

Question 3 of 5

The physician has ordered Basalgel (aluminum carbonate gel) for a client with recurrent indigestion. The nurse should teach the client common side effects of the medication, which include:

Correct Answer: A

Rationale: Aluminum-based antacids like Basalgel commonly cause constipation due to their effect on intestinal motility.

Question 4 of 5

The nurse on oncology is caring for a client with a white blood count of 600. During evening visitation, a visitor brings a potted plant. What action should the nurse take?

Correct Answer: D

Rationale: A low WBC (neutropenia) increases infection risk, so the plant, which may harbor bacteria or fungi, should be removed.

Question 5 of 5

Which of the following assessment findings would indicate to the nurse the need for more sedation in a client who is withdrawing from alcohol dependence?

Correct Answer: A

Rationale: indication that the client is approaching delirium tremens, which can be avoided with additional sedation

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