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Questions 158

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Question 1 of 5

A client with a history of chronic renal failure is receiving hemodialysis. Which assessment finding indicates a complication during dialysis?

Correct Answer: B

Rationale: Hypotension during dialysis suggests fluid removal too rapid or disequilibrium syndrome, a serious complication. Fatigue (
A), headache (
C), and stable weight (
D) are less concerning.

Question 2 of 5

An obstetrical client with diabetes has an amniocentesis at 28 weeks gestation. Which test indicates the degree of fetal lung maturity?

Correct Answer: D

Rationale: The lecithin-sphingomyelin (L/S) ratio measures fetal lung maturity by assessing surfactant production, critical for preventing respiratory distress syndrome in preterm infants.

Question 3 of 5

A client is having a pneumonectomy done today, and the nurse is planning her postoperative care. Nursing interventions for a postoperative left pneumonectomy would include:

Correct Answer: D

Rationale: Monitoring the right lung for an increase in rales is essential to detect early signs of fluid accumulation or infection in the remaining lung.

Question 4 of 5

The nurse is caring for a client with a history of psoriasis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Psoriasis causes scaly, silvery plaques due to rapid skin cell turnover, a hallmark symptom.

Question 5 of 5

The nurse is caring for a client with a history of Barrett’s esophagus. The nurse should expect the client to have:

Correct Answer: A

Rationale: Barrett’s esophagus results from chronic acid reflux, causing esophageal lining changes, a key risk factor for esophageal cancer.

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