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Questions 158

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Extract:


Question 1 of 5

The nurse is caring for a client with a diagnosis of postpartum hemorrhage. Which vital sign change is most likely to be observed?

Correct Answer: C

Rationale: Postpartum hemorrhage causes significant blood loss leading to tachycardia (to compensate for reduced volume) and hypotension (from decreased perfusion). Both are common vital sign changes.

Question 2 of 5

Place in sequence from 1-5 the proper order for introducing items to the infant's diet.

Order the Items

Source Container

Strained meats
Whole milk
Rice cereal
Fruits
Vegetables

Correct Answer: C, D, E, A, B

Rationale: Infant diet sequence: rice cereal (
C) at 6 months, then fruits (
D) and vegetables (E), strained meats (
A) around 7-8 months, and whole milk (
B) after 12 months.

Question 3 of 5

The charge nurse is formulating a discharge teaching plan for a client with mild preeclampsia. The nurse should give priority to:

Correct Answer: A

Rationale: Nosebleeds in preeclampsia may indicate severe hypertension or coagulopathy, requiring immediate reporting. Pedal edema is common, bed rest is not always needed, and sodium restriction is secondary.

Question 4 of 5

The client is diagnosed with glaucoma. Which medication is most likely to be prescribed?

Correct Answer: A

Rationale: Timolol, a beta-blocker, is commonly prescribed for glaucoma to reduce intraocular pressure by decreasing aqueous humor production. Atropine increases pressure, pilocarpine is less common, and acetazolamide is used acutely.

Question 5 of 5

The client is diagnosed with a tension pneumothorax. Which intervention should the nurse anticipate?

Correct Answer: C

Rationale: Tension pneumothorax, a medical emergency, requires needle decompression to relieve pressure on the lung and mediastinum, followed by chest tube insertion. Oxygen and bronchodilators are secondary.

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