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Questions 148

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Question 1 of 5

Which of the following postpartal clients is at greatest risk for hemorrhage?

Correct Answer: D

Rationale: A gravida 4 para 3 with a Caesarean section is at higher risk for hemorrhage due to uterine atony from multiple pregnancies and surgical delivery.

Question 2 of 5

A client is scheduled to undergo a bone marrow aspiration from the sternum. What position would the nurse assist the client into for this procedure?

Correct Answer: B

Rationale: The supine position provides optimal access to the sternum for bone marrow aspiration and ensures client safety and comfort.

Question 3 of 5

A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking:

Correct Answer: A

Rationale: Aspirin can increase methotrexate toxicity by reducing its renal excretion, leading to potentially severe side effects.

Question 4 of 5

A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses' next action be?

Correct Answer: B

Rationale: Tingling around the mouth and extremities suggests hypocalcemia, a common complication post-thyroidectomy due to parathyroid gland disturbance, so checking the calcium level is the next action.

Question 5 of 5

The nurse gives a 35-year-old primigravida client a RhoGAM injection in her 27th week of pregnancy. Which of the following client situations requires the nurse to take this action?

Correct Answer: A

Rationale: RhoGAM is given to an Rh-negative mother with an Rh-positive father to prevent Rh incompatibility issues in the fetus.

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