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Questions 158

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Question 1 of 5

The nurse is caring for a client who is receiving magnesium sulfate for preeclampsia. Which intervention is most appropriate to prevent toxicity?

Correct Answer: D

Rationale: Magnesium sulfate toxicity can cause respiratory depression loss of reflexes and reduced urine output. Monitoring respiratory rate reflexes and urine output is essential to detect toxicity early and ensure patient safety.

Question 2 of 5

Which early morning activity helps to reduce the symptoms associated with rheumatoid arthritis?

Correct Answer: C

Rationale: Holding a warm cup of coffee can reduce morning stiffness in rheumatoid arthritis by providing warmth and encouraging gentle hand movement. The other activities do not specifically alleviate joint stiffness.

Question 3 of 5

The nurse needs to be aware that the most common early complication of a myocardial infarction is:

Correct Answer: D

Rationale: Myocardial infarction causes tissue damage, which may interrupt electrical impulses. Myocardial irritability results from lack of oxygenated tissue.

Question 4 of 5

The client has surgery for removal of a prolactinoma. Which of the following interventions would be appropriate for this client?

Correct Answer: C

Rationale: After prolactinoma surgery (transsphenoidal hypophysectomy) elevating the head of the bed 30° reduces intracranial pressure and prevents cerebrospinal fluid leakage. Trendelenburg position coughing and nose blowing may increase pressure or disrupt the surgical site.

Question 5 of 5

The nurse is teaching a client with a history of osteoarthritis about exercise. The nurse should tell the client to:

Correct Answer: A

Rationale: Low-impact activities like swimming reduce joint stress in osteoarthritis, improving mobility and reducing pain.

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