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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

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 3 of 5

A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:

Correct Answer: B

Rationale: Administering meperidine 10 minutes before delivery risks neonatal respiratory depression, so the nurse should question the order.

Question 4 of 5

Two Mexican immigrant families live closely together and share goods, services, and childcare. To which of the following family structures does this model correspond?

Correct Answer: A

Rationale: A kinship network (
A) involves close family units sharing resources, typical in some Mexican cultures. Extended (
D) is broader, nuclear (
C) is single-family, and binuclear (
B) involves divorce.

Question 5 of 5

A client is discharged home with a prescription for Coumadin (sodium warfarin). The client should be instructed to:

Correct Answer: A

Rationale: Monthly Protime tests monitor the therapeutic effect of warfarin and prevent bleeding complications.

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A client is hospitalized with signs of transplant rejection following a recent renal transplant. Assessment of the client would be expected to reveal:
When examining an 80-year-old client with chronic COPD receiving home health care, the nurse notes that over the previous 48 hours the client has developed scattered painful pustular lesions on the right arm near the elbow (see photo), on the back of the neck, the face, and on both legs. Which of the following does the nurse suspect is the most likely cause of the lesions?

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