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Questions 149

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Extract:


Question 1 of 5

The nurse is caring for a client admitted to labor and delivery. The nurse is aware that the infant is in distress if she notes:

Correct Answer: B

Rationale: Absent variability on the fetal monitor indicates fetal distress, suggesting compromised oxygenation.

Question 2 of 5

The nurse caring for a client receiving intravenous magnesium sulfate must closely observe for side effects associated with drug therapy. An expected side effect of magnesium sulfate is:

Correct Answer: B

Rationale: Hypersomnolence is an expected side effect of magnesium sulfate due to its central nervous system depressant effects.

Question 3 of 5

Which of the following is a core measure set developed by the Joint Commission?

Correct Answer: D

Rationale: Heart failure is a Joint Commission core measure set, focusing on improving care quality for common conditions. The others are not core measures.

Question 4 of 5

The registered nurse is conducting an in-service for colleagues on the subject of peptic ulcers. The nurse would be correct in identifying which of the following as a causative factor?

Correct Answer: C

Rationale: H. pylori is a primary causative factor in peptic ulcers, contributing to mucosal damage and ulcer formation.

Question 5 of 5

The nurse is performing discharge teaching on a client with polycythemia vera. Which would be included in the teaching plan?

Correct Answer: D

Rationale: Polycythemia vera increases blood viscosity, raising thrombosis risk. Teaching clients to recognize thrombosis symptoms (e.g., swelling, pain) is critical for early intervention.

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