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Question 1 of 5

The nurse is caring for a client who is receiving oxytocin for labor induction. The fetal heart rate shows variable decelerations. The nurse’s first action should be to:

Correct Answer: B

Rationale: Variable decelerations suggest umbilical cord compression. Repositioning the client (e.g. to the left side or knee-chest position) may relieve compression and is the first action. Stopping oxytocin or notifying the physician may be needed if repositioning is ineffective.

Question 2 of 5

A male client has asthma and his physician has prescribed beclomethasone (Vanceril) 3 puffs tid in addition to his other medications. After taking his beclomethasone, the client should be instructed to:

Correct Answer: B

Rationale: Drinking water or gargling after using a steroid inhaler like beclomethasone prevents oral candidal infections, a common side effect.

Question 3 of 5

A client with nontropical sprue has an exacerbation of symptoms. Which meal selection is responsible for the recurrence of the client's symptoms?

Correct Answer: C

Rationale: Nontropical sprue (celiac disease) involves gluten intolerance. Crackers in the soup likely contain gluten, triggering symptoms. The other options are gluten-free.

Question 4 of 5

A client has sustained a severe head injury and damaged the preoccipital lobe. The nurse should remain particularly alert for which of the following problems?

Correct Answer: A

Rationale: The preoccipital (occipital) lobe processes vision. Damage causes visual impairment (e.g., cortical blindness). Swallowing (
B) involves the brainstem, judgment (
C) the frontal lobe, and hearing (
D) the temporal lobe.

Question 5 of 5

A client with a history of gout is prescribed allopurinol (Zyloprim). Which laboratory value should the nurse monitor closely?

Correct Answer: A

Rationale: Allopurinol reduces uric acid production in gout. Monitoring serum uric acid ensures therapeutic effect. Glucose (
B), potassium (
C), and hemoglobin (
D) are not directly affected.

Similar Questions

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Parents of a child with rheumatic fever express concern that she will always be arthritic. The nurse discusses their concerns and tells them the joint pain usually:
The nurse is teaching a client with osteoporosis about dietary modifications. Which food should the client be encouraged to include?
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A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:

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