A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding over several hours. The nurse should prepare the client for an immediate

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Chapter 14 Organizing Patient Care Questions Questions

Question 1 of 5

A 7 month pregnant woman is admitted with complaints of painless vaginal bleeding over several hours. The nurse should prepare the client for an immediate

Correct Answer: B

Rationale: An abdominal ultrasound is the priority for painless vaginal bleeding in a 7-month pregnant woman, likely indicating placenta previa or abruption, per obstetric protocols. It safely visualizes placental position and fetal status without radiation risk. A non-stress test monitors fetal heart rate but doesn't locate bleeding, pelvic exam risks exacerbating hemorrhage, and X-ray poses fetal radiation danger. B provides critical diagnostic data swiftly, ensuring maternal-fetal safety.

Question 2 of 5

A nurse and client are talking about the client's progress toward understanding his behavior under stress. This is typical of which phase in the therapeutic relationship?

Correct Answer: C

Rationale: The working phase involves discussing progress and understanding behavior, per therapeutic relationship stages. Pre-interaction is preparation, orientation establishes rapport, and termination concludes. C fits the active collaboration described.

Question 3 of 5

The nurse should initiate discharge planning for a client

Correct Answer: C

Rationale: Initiating discharge planning upon admission is standard. It ensures proactive coordination of care needs, per case management principles. Readiness , date set , and stabilization delay planning. C optimizes outcomes from the start.

Question 4 of 5

What is the most important consideration when teaching parents how to reduce risks in the home?

Correct Answer: D

Rationale: Age of children in the home is most important. Developmental stages dictate risk types (e.g., choking, falls), per safety education. Parental factors , services , and number matter but age-specific risks drive tailored teaching, making D the priority.

Question 5 of 5

The nurse is teaching diet restrictions for a client with Addison's disease. The client would indicate an understanding of the diet by stating

Correct Answer: A

Rationale: I will increase sodium and fluids and restrict potassium' shows understanding for Addison's disease. Adrenal insufficiency causes sodium loss and potassium retention, per endocrine nursing. B and C overcorrect potassium, D is opposite. A matches physiology.

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