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Questions 158

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Question 1 of 5

The nurse would teach a male JOB client ways to minimize the risk of infection after eye surgery. Which of the following indicates the client needs further teaching?

Correct Answer: C

Rationale: Eye patches are typically worn during sleep or naps, not constantly for 3 days, indicating a need for further teaching. The other options are correct preventive measures.

Question 2 of 5

A vaginal exam of a laboring client reveals that the fetus is at 0 station. This assessment means that:

Correct Answer: C

Rationale: A 0 station means the presenting part of the fetus is level with the ischial spines indicating engagement in the pelvis. It does not indicate a lack of descent transverse lie or immediate risk of precipitate delivery.

Question 3 of 5

A client had a vaginal delivery 3 days ago and is discharged from the hospital on the 2nd day postpartum. She told the RN, 'I need to start exercising so that I can get back into shape. Could you suggest an exercise I could begin with?' The RN could suggest which one of the following?

Correct Answer: D

Rationale: Kegel exercises are appropriate early postpartum as they strengthen pelvic floor muscles, promoting recovery without excessive strain.

Question 4 of 5

The nurse is teaching a client with a history of chronic sinusitis about self-care. The nurse should tell the client to:

Correct Answer: A

Rationale: A humidifier keeps nasal passages moist, reducing irritation and promoting drainage in chronic sinusitis.

Question 5 of 5

A client confides to the nurse that he tasted poison in his evening meal. This would be an example of what type of hallucination?

Correct Answer: B

Rationale: Auditory hallucinations involve sensory perceptions of hearing. Gustatory hallucinations involve sensory perceptions of taste. Olfactory hallucinations involve sensory perceptions of smell. Visceral hallucinations involve sensory perceptions of sensation.

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