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Questions 158

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Question 1 of 5

The nurse is caring for a client with a diagnosis of preeclampsia. Which vital sign change is most concerning?

Correct Answer: A

Rationale: A blood pressure of 160/110 in preeclampsia indicates severe hypertension increasing the risk of stroke or eclampsia and requires immediate intervention. The other vital signs are within normal limits.

Question 2 of 5

The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which medication is most likely to be ordered?

Correct Answer: B

Rationale: Methylergonovine (Methergine) is an oxytocic used to treat postpartum hemorrhage by promoting uterine contractions to control bleeding. Magnesium sulfate is for preeclampsia terbutaline is a tocolytic and betamethasone is for fetal lung maturity.

Question 3 of 5

A four-year-old with cystic fibrosis has a prescription for Creon (pancrelipase). The medication is given to:

Correct Answer: C

Rationale: Creon (pancrelipase) replaces pancreatic enzymes in cystic fibrosis patients, aiding digestion of fats, proteins, and carbohydrates. It does not affect respiratory secretions, clotting, or nasal polyps.

Question 4 of 5

The nurse is teaching a client with a history of heart failure about medication adherence. The nurse should tell the client to:

Correct Answer: A

Rationale: Diuretics reduce fluid overload in heart failure, so adherence to prescribed doses is critical to manage symptoms.

Question 5 of 5

The nurse instructs a client on the difference between true labor and false labor. The nurse explains, 'In true labor:

Correct Answer: B

Rationale: In true labor, uterine contractions strengthen and become more regular with activity like walking, facilitating cervical dilation and fetal descent.

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