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Questions 148

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Question 1 of 5

The nurse is preparing to pull a thin, frail client up in the bed. No one responds to the nurse's call for lifting assistance. Which is the best action by the nurse?

Correct Answer: C

Rationale: Using the draw sheet to pull the client up is the safest option to prevent injury to both the client and nurse when assistance is unavailable.

Question 2 of 5

A client in the prenatal clinic is assessed to have a blood pressure of 180/96. The nurse should give priority to:

Correct Answer: D

Rationale: Severe hypertension (180/96) poses a risk to fetal well-being, prioritizing fetal heart tone assessment.

Question 3 of 5

The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated while the client is receiving TPN?

Correct Answer: C

Rationale: TPN's high dextrose content requires glucose monitoring to prevent hyperglycemia.

Question 4 of 5

The nurse is caring for a client who is 12 weeks pregnant and presented with the following symptoms: mild uterine cramping with spotting of blood. The cervical os is closed upon examination. How should the nurse chart the findings?

Correct Answer: D

Rationale: Mild cramping, spotting, and a closed cervical os at 12 weeks indicate a threatened miscarriage, where the pregnancy may still continue.

Question 5 of 5

A client with schizophrenia is receiving depot injections of Haldol Deconate (haloperidol decanoate). The client should be told to return for his next injection in:

Correct Answer: C

Rationale: Haldol Decanoate is a long-acting depot injection typically administered every 4 weeks for maintenance therapy in schizophrenia.

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