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Questions 149

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Question 1 of 5

Which client is at greatest risk for a caesarean section due to cephalopelvic disproportion (CPD)?

Correct Answer: C

Rationale: A 17-year-old primigravida is at higher risk for CPD due to a potentially underdeveloped pelvis, increasing the likelihood of cesarean delivery.

Question 2 of 5

The nurse caring for a client diagnosed with metastatic cancer of the bone is exhibiting mental confusion and a BP of 150/100. Which laboratory value would correlate with the client's symptoms reflecting a common complication with this diagnosis?

Correct Answer: B

Rationale: Bone metastasis often causes hypercalcemia (calcium 13 mg/dL is elevated), leading to confusion and hypertension. The other values are normal or unrelated.

Question 3 of 5

When gathering evidence from a victim of rape, the nurse should place the victim's clothing in a:

Correct Answer: C

Rationale: A paper bag allows air circulation, preventing moisture that could degrade biological evidence.

Question 4 of 5

The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?

Correct Answer: A

Rationale: Diminished femoral pulses suggest coarctation of the aorta, a cardiac anomaly, requiring further evaluation.

Question 5 of 5

A new graduate nurse completes her first full shift with her preceptor. It was a long, overwhelming day and the new nurse takes a deep breath and says to herself, 'You can do this! Nursing will be a challenge but you are up for it and tomorrow is a new day.' This type of communication is

Correct Answer: A

Rationale: Intrapersonal communication is self-talk, as the nurse reflects and motivates herself.

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