A client who is at 36 weeks of gestation is scheduled for a nonstress test. Which of the following client statements indicates an understanding of the teaching?

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Question 1 of 5

A client who is at 36 weeks of gestation is scheduled for a nonstress test. Which of the following client statements indicates an understanding of the teaching?

Correct Answer: B

Rationale: The correct answer is B. The nonstress test takes about 10 minutes and evaluates fetal heart rate in response to fetal movement. Choice A is incorrect because fasting is not required for a nonstress test. Choice C is incorrect as a full bladder is not necessary for this test. Choice D is incorrect as blood glucose checking is not typically part of a nonstress test.

Question 2 of 5

A nurse is caring for a client who is 1 day postoperative following abdominal surgery. Which of the following findings should the nurse report to the provider?

Correct Answer: D

Rationale: A temperature of 38.8°C (101.8°F) is above the normal range and may indicate infection, which should be reported. Elevated temperature postoperatively can be a sign of infection, especially in the early postoperative period. Serosanguineous drainage on the surgical dressing is expected in the early postoperative period. A heart rate of 88/min and a blood pressure of 118/76 mm Hg are within normal ranges and do not necessarily indicate a complication postoperatively.

Question 3 of 5

A nurse is assessing a client who is receiving enteral nutrition via a nasogastric tube. Which of the following findings should the nurse report to the provider?

Correct Answer: D

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 4 of 5

A client in active labor requests pain management. Which of the following actions should the nurse take?

Correct Answer: B

Rationale: During active labor, nonpharmacologic comfort measures like placing the client in a warm shower are effective for pain relief. Ondansetron (Choice A) is an antiemetic and not used for pain management during labor. Applying fundal pressure (Choice C) can cause harm and is not recommended due to the risk of uterine rupture. Assisting the client to a supine position (Choice D) is not ideal in labor as it can decrease blood flow to the placenta and is associated with increased maternal complications.

Question 5 of 5

A charge nurse is teaching a newly licensed nurse about clients designating a health care proxy. Which of the following information should the charge nurse include?

Correct Answer: C

Rationale: The correct answer is C because the health care proxy can make treatment decisions for the client if the client is under anesthesia. This aligns with the concept of durable power of attorney for health care, where the proxy is authorized to make health care decisions when the client is unable to do so. Choices A, B, and D are incorrect. Choice A is incorrect because the proxy should make health care decisions only when the client is unable to do so. Choice B is incorrect as financial decisions are not typically within the scope of a health care proxy. Choice D is incorrect as managing legal issues is not the primary role of a health care proxy.

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