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Questions 148

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Question 1 of 5

Which selection would provide the most calcium for the client who is 4 months pregnant?

Correct Answer: C

Rationale: Yogurt is a rich source of calcium, essential for fetal bone development during pregnancy.

Question 2 of 5

The nurse has just administered an IM injection to a client. In which of the following ways should the nurse dispose of the needle?

Correct Answer: D

Rationale: Needles should be disposed of immediately in a puncture-resistant container in the client’s room to minimize sharps injury risk.

Question 3 of 5

The nurse is preparing to administer a dose of warfarin (Coumadin) to a client. The client’s international normalized ratio (INR) is 4.5. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: an INR of 4.5 is above the therapeutic range (2.0–3.0), indicating a risk of bleeding; the dose should be withheld and the physician notified

Question 4 of 5

Which of the following is a correctly stated nursing diagnosis for a client with abruptio placentae?

Correct Answer: D

Rationale: abruptio placenta is premature separation of a normally implanted placenta leading to hemorrhage; fluid volume deficit is a major nursing concern with these clients

Question 5 of 5

A client with chest pain is scheduled for a heart catheterization. Which of the following would the nurse include in the client's care plan?

Correct Answer: D

Rationale: During heart catheterization, the client may be asked to cough or breathe deeply to facilitate dye movement or assess respiratory response, a key part of preparation.

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