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Questions 149

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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

A client has had 4 pregnancies. She experienced one miscarriage at 12 weeks, had one stillborn birth at 34 weeks, a healthy son at 38 weeks, and a healthy daughter at 40 weeks. How would the client's obstetric history be classified?

Correct Answer: D

Rationale: Gravida 4 (4 pregnancies), Para 2 (2 viable births at 38 and 40 weeks). Miscarriage and stillbirth count as pregnancies but not viable births.

Question 3 of 5

The nurse is caring for a client scheduled for removal of the pituitary gland. The nurse should be particularly alert for:

Correct Answer: D

Rationale: Oliguria may indicate diabetes insipidus, a common complication after pituitary surgery due to antidiuretic hormone deficiency.

Question 4 of 5

An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?

Correct Answer: C

Rationale: Lactated Ringer's is isotonic and effective for correcting dehydration in obstetric clients, replacing fluids and electrolytes.

Question 5 of 5

The nurse is part of an interdisciplinary team in a rehabilitation unit. Which of the following statements by a client is most important to be communicated to the social worker on the team?

Correct Answer: A

Rationale: Inability to afford help (
A) is a social issue requiring the social worker's intervention for resources. Other concerns (B, C,
D) are addressed by therapy or nursing.

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