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Questions 149

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Extract:


Question 1 of 5

The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?

Correct Answer: D

Rationale: Sexual function is not directly related to bowel and bladder retraining, unlike diet, mobility, and fluid intake.

Question 2 of 5

The client is seen in the clinic for treatment of migraine headaches. The drug Imitrex (sumatriptan succinate) is prescribed for the client. Which of the following in the client's history should be reported to the doctor?

Correct Answer: B

Rationale: Prinzmetal's angina is a contraindication for sumatriptan due to the risk of coronary vasospasm, and this should be reported to the doctor.

Question 3 of 5

When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

Correct Answer: C

Rationale: Elevating the hips relieves pressure on the prolapsed cord, maintaining fetal oxygenation.

Question 4 of 5

Which of the following ethnic groups has the highest risk of developing diabetes mellitus type 2 and should be routinely screened for diabetes?

Correct Answer: A

Rationale: Hispanics (
A) have the highest risk for type 2 diabetes due to genetic and socioeconomic factors, requiring routine screening.

Question 5 of 5

The nurse plans on administering a medication using the Z-track intramuscular technique. The nurse knows the following steps are required during the procedure. Select all that apply.

Correct Answer: A,C

Rationale: Z-track requires an air lock (
A) to seal medication and a new needle (
C) to prevent tracking. The needle is inserted at 90 degrees, not 45 (
D), and various muscles can be used (B is not mandatory).

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