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Question 1 of 5

The nurse prepares a 25-year-old woman for a cesarean section. The patient says she had major surgery several years ago and asks if she will receive a similar 'shot' before surgery. The nurse’s response should be based on an understanding that the preoperative medication given before a cesarean section

Correct Answer: C

Rationale: decreased so less narcotic crosses the placental barrier causing respiratory depression in the infant

Question 2 of 5

The nurse is performing discharge diet teaching to a client with a stage 1 decubitus ulcer on the coccyx. Which diet selection by this client would indicate that the client has a clear understanding of the proper diet for healing of a decubitus ulcer?

Correct Answer: C

Rationale: Healing a decubitus ulcer requires a diet high in protein, vitamins (especially C and
A), and minerals like zinc. Baked chicken (protein), broccoli (vitamin
A), wheat roll (carbohydrates), and orange (vitamin
C) support tissue repair. The other options lack sufficient protein or include high-sugar/fat items that don't aid healing.

Question 3 of 5

A client with pulmonary edema is ordered IV hydrocortisone (Solu-Cortef) 40 mg b.i.d. Which laboratory value would the nurse expect to see as a result of this therapy?

Correct Answer: C

Rationale: Hydrocortisone, a corticosteroid, increases blood glucose by promoting gluconeogenesis. Magnesium levels are not primarily affected.

Question 4 of 5

Which client is at risk for opportunistic diseases such as pneumocystis pneumonia?

Correct Answer: A

Rationale: Chemotherapy suppresses the immune system, increasing the risk of opportunistic infections like pneumocystis pneumonia.

Question 5 of 5

The nurse enters the client's room and smells cigarette smoke. When confronted, the client says, 'I only smoked one cigarette because I was having a bad craving.' Which action by the nurse is most appropriate?

Correct Answer: C

Rationale: Reminding the client of the danger of smoking near oxygen and hospital policy addresses safety and compliance immediately.

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