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Question 1 of 5

A client hospitalized with cirrhosis has developed abdominal ascites. The nurse should provide the client with snacks that provide additional:

Correct Answer: C

Rationale: Protein-rich snacks help maintain nutritional status and support liver function in cirrhosis, while sodium should be limited to reduce ascites.

Question 2 of 5

The client with preeclampsia is admitted to the unit with an order for magnesium sulfate. Which action by the nurse indicates the understanding of magnesium toxicity?

Correct Answer: C

Rationale: Inserting a Foley catheter allows monitoring of urinary output, which is critical to detect magnesium toxicity, as decreased output is a sign of toxicity.

Question 3 of 5

The clinic record for a client reads: gravida 3, para 2. The admitting nurse is most correct to confirm which prenatal history?

Correct Answer: B

Rationale: Gravida 3, para 2 indicates three pregnancies and two births after 20 weeks’ gestation, regardless of outcome (live or stillbirth).

Question 4 of 5

The nurse is caring for a postpartum client. Which of the following assessment findings would be a reason for concern during the client's postpartum stay?

Correct Answer: C

Rationale: Vaginal discharge should progress from rubra to serosa to alba. Reverting to rubra suggests possible retained placental fragments or bleeding, a cause for concern.

Question 5 of 5

A client who served three tours of duty in Afghanistan has been diagnosed with posttraumatic stress disorder (PTSD). Which of the following signs and symptoms does the nurse expect the client to exhibit? Select all that apply.

Correct Answer: A,B,C,E

Rationale: PTSD symptoms include recurring flashbacks (
A), detachment (
B), anger (
C), and nightmares (E). Hyperacute memory (
D) is not typical, and excessive sleeping (F) is less common than insomnia in PTSD.

Similar Questions

One of the most important criteria for the diagnosis of physical abuse is inconsistency between the appearance of the injury and the history of how the injury occurred. Which one of the following situations should alert the nurse to the possibility of abuse?
The nurse is teaching a group of parents about safety measures to prevent accidental poisoning in children. Which of the following instructions should the nurse include?
A client is admitted with a diagnosis of renal calculi. The nurse should give priority to:
A client with a history of schizophrenia is seen in the local health clinic for medication follow-up. To maintain a therapeutic level of medication, the nurse should tell the client to avoid:
A client with a history of abusing barbiturates abruptly stops taking the medication. The nurse should give priority to assessing the client for:

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