ANSWERS GRADED A+ ASSURED A+
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,9 A nurse is caring for a client who is in labor and his seat is receiving electronic fetal monitoring. The
nurse is reviewing the monitor tracing and notes early decelerations. Which the following should the nurse
expect?
a. Feta hypoxia
b. Abrupto placentae
c. Post maturity
d. Head Compression
10 A nurse is caring for a client who has chronic kidney disease . The nurse should identify which of
the following laboratory values as in an indication for hemodialysis ? a) glomerular filtration rate
of 14 mL/ minute
b) BUN 16 mg/DL
c) serum magnesium 1.8 mg mg/dl
a)
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, d) Serum phosphorus 4.0 mg/dL
11A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The
following is an appropriate action for the nurse to take? a) Placed infant under radiant warmer
b) Move the probe site every 3 hours
c) Heat the skin one minute prior to placing the program
d) Placed a sensor on the index finger
9 A nurse in a mental health facility receives a change of shift report on for clients. Which of the
following clients should the nurse plan to assess first?
a. Client placed in restraints to the aggressive behavior
b. A new limited client pleasures history of 4.5 kg weight loss in the past two months
c. Client is receiving a PRN dose of health heard all two hours ago for increased anxiety
d. Applied he’ll be receiving his first ECT treatment today
10 A nurse working at the clinic is teaching a group of clients who are pregnant on the use of
nonpharmacological pain management. Which of the following statements by the nurse is an
appropriate description of the use of hypnosis during labor?
a. Hypnosis focuses on the biofeedback as a relaxation technique
b. Hypnosis promotes increased control of her pain perception during contractions
c. Hypnosis uses therapeutic touch to reduce anxiety during labor
d. Hypnosis provides instruction to minimize pain
11 A nurse in a County Jail health clinic is leading group therapy session. A client who was incarcerated
for theft is addressing the group. Which of the following is an example of reaction formation ? ( rxn
formation is when you use opposite feelings; ex: being super nice to someone you dislike)
a. I steal things because it’s the only way I can keep my mind off my bad marriage
b. I can’t believe I was accused of something I didn’t do
c. I don’t want talk about my feelings right now. We will talk more next time
d. I think that people just you’re just lazy and should earn money honestly
12 A nurse is obtaining the medical history of a client who has a new prescription for isosorbide
monotitrate . Which of the following should the nurse identify as a contraindication to
medication? a) Glaucoma
b) Hypertension
c) Polycythemia
d) Migraine headaches
16)?
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