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Questions 148

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Question 1 of 5

The nurse is calculating the Apgar score for a newborn. Findings are as follows: Heart rate: 110, Respiratory effort: good cry, Muscle tone: some flexion of extremities, Reflex irritability: grimace, Color: completely pink. What is the Apgar score for this neonate?

Correct Answer: C

Rationale: Heart rate 110 (2), good cry (2), some flexion (1), grimace (1), pink (2) = 9.

Question 2 of 5

A client with AIDS complains of a weight loss of 20 pounds in the past month. Which diet is suggested for the client with AIDS?

Correct Answer: D

Rationale: A high-calorie, high-protein, low-fat diet helps maintain weight and muscle mass in clients with AIDS while minimizing gastrointestinal complications.

Question 3 of 5

A client in the family planning clinic asks the nurse about the most likely time for her to conceive. The nurse explains that conception is most likely to occur when:

Correct Answer: B

Rationale: A surge in luteinizing hormone triggers ovulation, the time when conception is most likely.

Question 4 of 5

A client with cancer is to undergo an intravenous pyelogram. The nurse should:

Correct Answer: B

Rationale: Voiding immediately before an IVP ensures the bladder is empty, improving visualization of the urinary tract.

Question 5 of 5

The nurse is caring for a client with cancer who is exhibiting signs and symptoms that death is near. The client's daughter says that she does not want her mother to receive morphine because it will hasten her death. What response by the nurse is most appropriate?

Correct Answer: C

Rationale: Morphine alleviates air hunger and anxiety in end-of-life care, improving comfort without necessarily hastening death, addressing the daughter’s concerns therapeutically.

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