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Questions 149

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Extract:


Question 1 of 5

When assessing a laboring client, the nurse finds a prolapsed cord. The nurse should:

Correct Answer: C

Rationale: Elevating the hips relieves pressure on the prolapsed cord, maintaining fetal oxygenation.

Question 2 of 5

The nurse is preparing a client with acquired immunodeficiency syndrome (AIDS) for discharge home. Which of the following statements by the client indicates a need for further teaching by the nurse?

Correct Answer: D

Rationale: AIDS patients cannot donate blood due to HIV transmission risk. Public activities and restrooms pose minimal risk, and sharing serving dishes is safe if not directly contaminated.

Question 3 of 5

A client is receiving a blood transfusion following surgery. In the event of a transfusion reaction, any unused blood should be:

Correct Answer: D

Rationale: Unused blood must be returned to the blood bank for analysis in case of a transfusion reaction.

Question 4 of 5

The physician has prescribed a Becloforte (beclomethasone) inhaler two puffs twice a day for a client with asthma. The nurse should tell the client to report:

Correct Answer: B

Rationale: A sore throat may indicate oral candidiasis, a side effect of inhaled corticosteroids like beclomethasone.

Question 5 of 5

The nurse is obtaining a history on an 80-year-old client. Which statement made by the client might indicate a potential for fluid and electrolyte imbalance?

Correct Answer: B

Rationale: Frequent laxative use can lead to dehydration and electrolyte imbalances due to excessive fluid and electrolyte loss through diarrhea.

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