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Questions 158

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Extract:


Question 1 of 5

The nurse is teaching a group of prenatal clients about the effects of cigarette smoke on fetal development. Which characteristic is associated with babies born to mothers who smoked during pregnancy?

Correct Answer: A

Rationale: Smoking during pregnancy restricts placental blood flow leading to low birth weight. Babies are not typically large and while preterm birth or growth retardation may occur low birth weight is the most consistent finding.

Question 2 of 5

The client is prescribed ipratropium (Atrovent) and albuterol (Proventil) via inhaler. Which instruction should the nurse include?

Correct Answer: A

Rationale: Albuterol, a bronchodilator, is used first to open airways, followed by ipratropium, an anticholinergic, to maintain bronchodilation. Simultaneous or single daily use is incorrect.

Question 3 of 5

A 5-year-old child is hospitalized for an acute illness. The nurse encourages the family to bring her favorite objects from home. What is the nurse's rationale?

Correct Answer: D

Rationale: Favorite objects from home assist in creating a familiar setting, preventing or minimizing separation anxiety.

Question 4 of 5

A nurse should carefully monitor a client for the following side effect of MgSO4:

Correct Answer: D

Rationale: The nurse should provide good distractors because these symptoms indicate that PIH has become more severe and may precede the convulsive or eclamptic phase. This is the opposite side effect of this medication. This is a common side effect of this medication and needs to be monitored and recorded frequently.

Question 5 of 5

The nurse caring for a client with closed chest drainage notes that the collection chamber is full.

Correct Answer: D

Rationale: A full collection chamber requires replacing the chest drainage unit to maintain effective drainage and prevent complications like tension pneumothorax.

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