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Questions 158

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Question 1 of 5

Which method of transmission would most likely result in contamination with botulism?

Correct Answer: B, D

Rationale: Botulism is caused by Clostridium botulinum toxin, typically from contaminated food (e.g., perforated cans,
B) or wound contamination (
D). It is not transmitted person-to-person (
A), via mosquitoes (
C), goat saliva (E), or cat litter dust (F).

Question 2 of 5

A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse should be alert to which condition related to her age?

Correct Answer: D

Rationale: Iron-deficiency anemia can occur throughout pregnancy and is not age related. STDs can occur prior to or during pregnancy and are not age related. Intrauterine growth retardation is an abnormal process where fetal development and maturation are delayed. It is not age related. Physical risks for the pregnant client older than 35 include increased risk for PIH, cesarean delivery, fetal and neonatal mortality, and trisomy.

Question 3 of 5

A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

Correct Answer: B

Rationale: Lamaze childbirth preparation teaches the use of chest, not abdominal, breathing. In Lamaze preparation, every patterned breath is preceded by a cleansing breath; as labor progresses, shallow, paced breathing is found to be effective. It is important to assume a comfortable position in labor, but the Lamaze-prepared laboring woman is taught to breathe with her chest, not abdominal, muscles. When deep chest breathing patterns are used in Lamaze preparation, they are slowly paced at a rate of 6-9 breaths/min.

Question 4 of 5

The local health clinic recommends vaccination against influenza for all its employees. The influenza vaccine is usually given annually in:

Correct Answer: A

Rationale: Influenza vaccines are typically administered in November, before the peak flu season, to ensure immunity during winter months.

Question 5 of 5

A client with a history of breast cancer is receiving tamoxifen (Nolvadex). Which adverse effect should the nurse monitor for?

Correct Answer: B

Rationale: Tamoxifen increases the risk of endometrial hyperplasia, a serious adverse effect due to its estrogenic effects on the uterus. Weight loss (
A), hypotension (
C), and hair loss (
D) are not typical.

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