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Questions 148

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Extract:


Question 1 of 5

The nurse is caring for a 27-year-old client in active labor. After reviewing the fetal heart tone strip shown, the nurse should take which action first?

Correct Answer: A

Rationale: Repositioning the client is the first step to improve fetal oxygenation if the fetal heart tone strip shows distress, as it is non-invasive and may resolve the issue.

Question 2 of 5

A client being treated with sodium warfarin (Coumadin) has a Protime of 120 seconds. Which intervention would be most important to include in the nursing care plan?

Correct Answer: A

Rationale: A Protime of 120 seconds indicates excessive anticoagulation, increasing the risk of bleeding, so assessing for abnormal bleeding is the most important intervention.

Question 3 of 5

Which snack selection by a client with osteoporosis indicates that the client understands the dietary management of the disease?

Correct Answer: C

Rationale: Yogurt is rich in calcium, which is essential for bone health in osteoporosis management.

Question 4 of 5

The doctor orders 2% nitroglycerin ointment in a 1-inch dose every 12 hours. Proper application of nitroglycerin ointment includes:

Correct Answer: A

Rationale: Rotating sites prevents skin irritation and ensures consistent absorption.

Question 5 of 5

The nurse is caring for a client with rheumatoid arthritis. The nurse knows that the client's symptoms will be most improved by:

Correct Answer: A

Rationale: A warm shower reduces morning stiffness in rheumatoid arthritis by improving joint mobility and reducing inflammation.

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