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Question 1 of 5

The nurse should be particularly alert for which one of the following problems in a client with barbiturate overdose?

Correct Answer: C

Rationale: Barbiturate overdose primarily causes respiratory depression, leading to apnea, which is life-threatening and requires immediate intervention.

Question 2 of 5

A 3-year-old boy is diagnosed with plumbism. Which of the following information in his chart does the nurse associate with his diagnosis?

Correct Answer: B

Rationale: Plumbism (lead poisoning) is associated with exposure to lead-based paint, common in older homes (e.g., a 70-year-old farmhouse). Other options are unrelated to lead exposure.

Question 3 of 5

Which observation would the nurse expect to make after an amniotomy?

Correct Answer: B

Rationale: Clear amniotic fluid is expected after an amniotomy, indicating no complications like meconium or bleeding.

Question 4 of 5

A 40-year-old male client has been diagnosed with Huntington disease and his spouse asks the nurse if their 3-year-old son should be tested to determine if the son inherited the genetic disorder. Which of the following is the most appropriate response?

Correct Answer: B

Rationale: Referring to a genetic counselor (
B) ensures informed decision-making about testing a child for Huntington's. Other responses (A, C,
D) are directive or dismissive.

Question 5 of 5

The client is admitted to the unit. A vaginal exam reveals that she is 3cm dilated. Which of the following statements would the nurse expect her to make?

Correct Answer: D

Rationale: At 3 cm dilation (early labor), clients often inquire about pain relief options like an epidural.

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The nurse is preparing to discharge a client with a long history of polio. The nurse should tell the client that:
The nurse is teaching a new breastfeeding mother about breast care, but the mother has engorgement and asks if she should quit breastfeeding. Which information should the nurse include? Select all that apply.
A client who has just undergone a laparoscopic cholecystectomy complains of 'free air pain.' What would be your best action?

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