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Questions 149

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Question 1 of 5

The nurse is assisting a client with a colostomy irrigation. The client is positioned on the toilet and has removed the colostomy pouch, and the irrigation bag is filled with 1000 mL of warm water. Place the following actions (in Roman numerals) in the correct order from first to last

Correct Answer: E,D,C,B,A

Rationale: The correct order is: Hang the irrigation solution (V), apply the irrigation sleeve (IV), insert the cone tip (III), allow solution to flow (II), and allow evacuation (I), ensuring proper setup and procedure.

Question 2 of 5

Four days after delivery, a client develops complications of postpartal hemorrhage. The most common cause of late postpartal hemorrhage is:

Correct Answer: B

Rationale: Retained placental fragments are the most common cause of late postpartum hemorrhage, as they prevent proper uterine contraction and hemostasis.

Question 3 of 5

A 52-year-old client is undergoing menopause. Which of the following physical sign or symptom is often attributed to decreased estrogen production associated with menopause?

Correct Answer: C

Rationale: Decreased estrogen in menopause often leads to increased fat deposits on hips and abdomen (
C). Weight loss (
A), excessive sleeping (
B), and increased metabolic rate (
D) are not typical.

Question 4 of 5

The nurse is caring for a client 7 days post-burn injury with 60% body surface area involved. The nursing care of this client would primarily focus on:

Correct Answer: A

Rationale: At 7 days post-burn, infection is a major risk due to open wounds and immunosuppression, making meticulous infection control the primary focus.

Question 5 of 5

A client is scheduled for a colposcopy. The nurse assists the client into which position?

Correct Answer: D

Rationale: Colposcopy requires the lithotomy position to provide access to the cervix for examination.

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