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Questions 149

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Question 1 of 5

The nurse is caring for a client with a Brown-Sequard spinal cord injury. The nurse should expect the client to have:

Correct Answer: D

Rationale: Brown-Sequard syndrome causes loss of sensation contralateral to the injury and motor loss ipsilateral to the injury.

Question 2 of 5

The nurse is caring for a client with a retained placenta following a noneventful vaginal birth of a full-term infant. The nurse understands which of the following is true regarding a retained placenta?

Correct Answer: C

Rationale: Removing retained placental fragments reduces infection and hemorrhage risks. Imaging is not typically used, nitroglycerin is rare, and the uterus may feel boggy, not firm.

Question 3 of 5

The obstetrical client decides to have an epidural anesthetic to relieve pain during labor. Following administration of the anesthesia, the nurse should monitor the client for:

Correct Answer: C

Rationale: Epidural anesthesia can cause respiratory depression, requiring close monitoring to ensure patient safety.

Question 4 of 5

The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn't show up in the nursery. The nurse's response is based on the knowledge that:

Correct Answer: D

Rationale: Fetal hemoglobin, present in newborns, inhibits sickling, masking sickle cell anemia symptoms until fetal hemoglobin decreases after several months.

Question 5 of 5

The family of a hospice client wishes to visit at midnight. Which of the following actions by the nurse would be the most appropriate?

Correct Answer: D

Rationale: In hospice care, allowing family visits at any time supports the client’s and family’s emotional needs, especially near end-of-life.

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