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 A multipara postpartum client complain intense cramping while

breastfeeding. Whar instruction should the nurse provide to the client?
A.Change the infant's position during the next feeding.
B. Void and completely empty bladder before each
feeding. C. Take a prescribed analgesic an hour
prior to breastfeeding.
D. Drink two glasses of water 30 minutes prior to breastfeeding.


 A nurse is preparing to teach the parents of a child who had a
surgical repair of myelomeningocele how to change an occlusive
dressing on the child's back. Which statement by the parents indicates
that they understand this procedure?
A."We should rapidly remove the tape from the edges of the dressing when
changing it."
B. "The dressing should be wetted periodically to keep the skin incision
moist."
C. "The dressing will help dry the sutures for ease of removal."
D. " The purpose of the dressing is to protect the incision from fecal
contamination."


 While the nurse is preparing to administer a high volume saline
enema to a male client, the client appears anxious and states that he is
not able to turn on his right side without help because of a recent stroke.
What action should the nurse take first?
A.Reassure the client that he can remain in any position of comfort
during the enema. B. Assess the client's ability to independently turn to
his left side.
C. Instruct the client that the procedure will only last about ten minutes.
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D. Ask a UAP to assist the client to maintain a right lateral position.

 At a routine prenatal visit, a client at 24-weeks gestation complains of

nasal stuffiness and occasional nosebleeds. Which hormone is responsible
for these changes?
A.Human chorionic gonadotropin.
B. Progesterone.
C. Relaxin
. D.
Estrogen.


 A client who has localized eczematous eruptions on b oth hands is

diagnosed as having contact dermatitis. What instruction should the nurse
include in this client's discharge teaching plan?
A.Wear latex gloves whenever outdoors.
B. Apply an oil-based ointment to the affected areas.
C. Take prescribed antihistamine near bedtime.
D.Soak hands in warm soapy water three times a day.


 While transcribing a new prescription, the nurse notes that the

prescribed dosage is much lower than the recommended dosage listed in
the drug reference guide. Which client data supports the dosage
reduction?
A.Decreased serum creatinine
B. Increased serum
protein. C. Increased
liver enzymes.
D. Prolonged prothrombin time.
 The nurse assigns an unlicensed assistive personnel (UAP) to take the
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vital signs of a client who is positive for Human Immunodeficiency Virus
(HIV). What protective apparel should the nurse counsel the UAP to wear
when carrying out this assignment? A. None.
B. Gown, gloves, mask.

C. Gloves and mask.

D. Gloves only.



 A client with Guillain-Barre syndrome requires a tracheostomy and

mechanical ventilation due to the progression of the disease. What
nursing intervention is most helpful in aiding this clinet to
communicate with the staff and family?
A.Speak slowly and disntinctly while in direct view of the client.
B. Teach the client to point to a letter board word chart to communicate
needs.
C. Provide the client with a pencil and tablet of paper.
D. With the client, develop a system of eye blinks to communicate "yes" or
"no."


 A client with peptic ulcer disease (PUD) is admitted to the emergency

room complaining of sudden severe upper abdominal pain. Assessment
indicates an extremely tender and rigid abdomen, B/P of 90/60 mmHg, and
pulse of 110 beat/minute. The emergency department nurse should
anticipate implementation of which intervention? A. Preparing the client
for emergency abdominal surgery.
B. Infusing the proton pump inhibitor Protonix intravenously.

C. Administering an iced saline lavage.

D. Inserting a nasogastric tube to decompress the bowel.



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 Which finding should the nurse expect a client to exhibit who is newly

diagnosed with fibromyalgia?
A.Recent joint trauma.
B. Disruption in sleep patterns.
C. Unexplained weight gain.
D.Itching and rash.


8.A male client with diabetes mellitus reports that he has had trouble
following his diet, and the result of his fasting blood glucose test is 90
mg/dl. What action should the nurse implement first?
A. Obtain a urine specimen from the client to test for ketonuria.

B. Assure the client that his diabetes control is within normal limits.

C. Schedule the client to attend classes about diet

management. D. Review the findings of his
glycosylated hemoglobin test.




 The nurse notes that a client is experiencing supraventricular
tachyacardia (SVT). Which action should the nurse implement?
A.Assess the client's heart sounds and vital signs.
B. Call a code and start CPR immediately.
C. Prepare to administer adenosine, an antidysrhythmic.
D.Place a crash cart at the client's bedside.




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