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Question 1 of 5

The obstetric client's fetal heart rate is 80-90 during the contractions. The first action the nurse should take is:

Correct Answer: B

Rationale: A fetal heart rate of 80-90 suggests distress; turning the client to her left side improves uteroplacental perfusion.

Question 2 of 5

A client is being assessed for neutropenia. The client's total white blood cell count is 5200 with 45% neutrophils and 5% bands. What is the absolute neutrophil count (ANC)? Record your answer using a whole number.

Correct Answer: 2600

Rationale: ANC = WBC X (Neutrophils% + Bands%) = 5200 X (0.45 + 0.05) = 5200 X 0.5 = 2600.

Question 3 of 5

The nurse is preparing a middle-aged female for a total knee replacement (TKR) surgery on her left leg tomorrow. Which statement by the nurse is incorrect?

Correct Answer: C

Rationale: A fracture pan is inappropriate post-TKR; a bedpan or bedside commode is typically used. Other statements are correct.

Question 4 of 5

The nurse recognizes that which of the following would be most appropriate to wear when providing direct care to a client with a cough?

Correct Answer: A

Rationale: A mask is the most appropriate PPE to prevent transmission of respiratory infections from a client with a cough, as it protects against droplet spread.

Question 5 of 5

The primary physiological alteration in the development of asthma is:

Correct Answer: D

Rationale: Bronchiolar smooth muscle spasm is the primary physiological alteration in asthma, leading to airway narrowing.

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The nurse is caring for a client with Crohn's disease. How should the nurse educate the client regarding nutrition and hydration?
When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
A client is to be discharged with a tracheostomy. Which of the following should the nurse most stress when educating the client about home management? Select all that apply.

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