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Questions 164

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Question 1 of 5

The nurse is talking with a female client about collecting a clean-catch urine specimen. Which of the following information should the nurse include? Select all that apply.

Correct Answer: A,C,D

Rationale: Avoiding contamination, proper cleansing, and spreading the labia are critical for a clean-catch specimen. The lid should be placed sterile side up, and the container should be positioned midstream.

Question 2 of 5

The nurse is assisting with the care of a client who is scheduled to receive an oxytocin infusion to induce labor. The nurse should recognize that oxytocin infusion can lead to

Correct Answer: B

Rationale: Oxytocin can cause uterine hyperstimulation, leading to fetal distress and potential cesarean delivery.

Question 3 of 5

In addition to disturbances in mental awareness and orientation, a client with cognitive impairment is also likely to show loss of ability in

Correct Answer: C

Rationale: Learning, creativity, and judgment. Cognitive impairments are due to physiological processes that affect memory and other higher-level cognitive processes.

Question 4 of 5

A nurse is preparing for a medical relief trip to West Africa and is concerned about a disruption in circadian rhythm from traveling across several time zones. Which supplement might help synchronize the body to environmental time?

Correct Answer: C

Rationale: Melatonin helps regulate sleep-wake cycles and can mitigate jet lag.

Question 5 of 5

The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching?

Correct Answer: A

Rationale:
Torn axillary pads can cause discomfort and injury, indicating a need for replacement and further teaching.

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