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Questions 158

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Question 1 of 5

The nurse is caring for a client who is receiving terbutaline for preterm labor. Which side effect should the nurse monitor for?

Correct Answer: C

Rationale: Terbutaline a beta-agonist tocolytic commonly causes maternal tachycardia due to its stimulatory effects on the cardiovascular system. Maternal bradycardia fetal hypoglycemia and macrosomia are not associated side effects.

Question 2 of 5

A client telephones the emergency room stating that she thinks that she is in labor. The nurse should tell the client that labor has probably begun when:

Correct Answer: D

Rationale: Contractions five minutes apart lasting 30-60 seconds indicate the onset of active labor. Two-minute contractions suggest advanced labor and back pain or urination are less specific signs.

Question 3 of 5

Which of the following should be included in discharge teaching for a client with hepatitis C?

Correct Answer: C

Rationale: Alcohol should be avoided as it is detoxified by the liver, which is compromised in hepatitis C. Aspirin is hepatotoxic, blood donation is not allowed, and hepatitis C is not spread orally.

Question 4 of 5

The chart indicates that a client has expressive aphasia following a stroke. The nurse understands that the client will have difficulty with:

Correct Answer: A

Rationale: Expressive aphasia (Broca’s aphasia) impairs the ability to speak and write due to damage in the frontal lobe’s speech center. Comprehension and motor activity are less affected.

Question 5 of 5

The client is admitted at 32 weeks gestation with a diagnosis of gestational hypertension. Which assessment finding is most significant?

Correct Answer: A

Rationale: Proteinuria of 2+ is a significant finding in gestational hypertension as it suggests progression to preeclampsia which can lead to severe complications. BP of 140/90 edema and weight gain are concerning but less specific without proteinuria.

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