MPLETED54VATI54Greenlight54STUDY54SET542024-20245
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?A54nurse54is54providing54prenatal54teaching54to54a54client54who54is54at541254weeks54o
f54gestation.54The54nurse54should54tell54the54client54that54she54will54undergo54which5
4of54the54following54screening54tests54at541654weeks54of54gestation?
A.54Chorionic54villus54sampling-54as54early54as54854weeks
B.54Cervical54cultures54for54chlamydia-541st54appointment.
C.54 Nonstress54test54-2854weeks
D.54Maternal54serum54alpha-fetoprotein-541654to541854weeks54-54ANSWER-
D.54Maternal54serum54alpha-fetoprotein-541654to541854weeks
A54nurse54is54caring54for54a54client54who54is54on54bed54rest.54The54nurse54should54reco
gnize54that54which54of54the54following54findings54is54a54complication54of54immobility
?
A.54Decreased54serum54calcium54levels-54increased54serum54calcium
B.54Increased54blood54pressure-54hypotension
C.54Swollen54area54on54calf
D.54Urinary54frequency-54-54ANSWER-C.54Swollen54area54on54calf
A54nurse54is54caring54for54a54client54who54is54at543354weeks54of54gestation54following
54an54amniocentesis.54The54nurse54should54monitor54the54client54for54which54of54the
54following54complications?54A.54Vomiting
B.5 4 Hypertension
C.5 4 Epigastric54pain
D.54Contractions54-54ANSWER-D.54Contractions
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A54nurse54is54providing54teaching54to54an54older54adult54client54about54methods54to54
promote54nighttime54sleep.54Which54of54the54following54instructions54should54the54
nurse54include?
A.54 Stay54in54bed54at54least54154hr54if54unable54to54fall54asleep
B.5 4 Take54a54154hr54nap54during54the54day
C.5 4 Perform54exercises54prior54to54bedtime
D.54Eat54a54light54snack54before54bedtime54-54ANSWER-
D.54Eat54a54light54snack54before54bedtime
A54nurse54on54a54telemetry54unit54is54caring54for54a54client54who54becomes54unconsc
ious54and54whose54monitor54displays54ventricular54tachycardia.54Which54of54the54fol
lowing54actions54should54the54nurse54take54first54after54determining54the54client54do
es54not54have54a54palpable54pulse?
A. Assess54heart54sounds
B. Defibrillate
C. Establish54IV54access
D. Administer54epinephrine54-54ANSWER-B.54Defibrillate
A54nurse54is54admitting54a54client54who54154week54postpartum54and54reports54exce
ssive54vaginal54bleeding.54The54nurse54does54not54speak54the54same54language54as54
the54client.54The54client's54partner54and5410-year-
old54child54are54accompanying54her.54Which54of54the54following54actions54should54t
he54nurse54take54to54gather54the54client's54admission54data?
A. Have54the54client's54child54translate
B. Allow54the54client's54partner54to54translate
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C. Request54a54female54interpreter54through54the54facility
D. Ask54a54nursing54student54who54speaks54the54same54language54as54the54client54to5
4translate54-54ANSWER-C.54Request54a54female54interpreter54through54the54facility
A54nurse54is54caring54for54a54client54who54is54febrile.54To54reduce54the54client's54fever,
54the54nurse54applies54a54cooling54blanket.54Which54of54the54following54findings54indi
cates54the54client54is54having54an54adverse54reaction54to54the54cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering54-54ANSWER-d.54Shivering
A54nurse54is54caring54for54a54client54who54has54deep-vein-
thrombosis54of54the54left54lower54extremity.54Which54of54the54following54actio
ns54should54the54nurse54take?54(Exhibit)54A.54Position54the54client54with54the54
affected54extremity54lower54than54the54heart
B.54Withhold54heparin54IV54infusion54PTT-5430-4054seconds;54x254if54on54heparin
C.54Administer54acetaminophen
D.54Massage54the54affected54extremity54every54454hr54-54ANSWER-
B.54Withhold54heparin54IV54infusion54PTT-5430-4054seconds;54x254if54on54heparin
A54nurse54is54reviewing54assessment54data54from54several54clients.54For54which54of54t
he54following54clients54should54the54nurse54recommend54referral54to54a54dietitian?
A. An54older54adult54client54who54has54a54BMI54of5424
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B. A54client54who54has54a54nonhealing54leg54ulcer
C. An54older54adult54client54who54has54presbyopia
D. A54client54who54has54an54albumin54level54of543.754g/dL54(normal543.4-5.4)54-
54ANSWER-B.54A54client54who54has54a54nonhealing54leg54ulcer
8. A54nurse54is54providing54discharge54teaching54to54a54client54who54has54a54chroni
c54kidney54disease54and54is54receiving54hemodialysis.54Which54of54the54following54i
nstructions54should54the54nurse54include54in54the54teaching?
a. Eat54154g/kg54of54protein54per54day
b. Take54magnesium54hydroxide54for54indigestion
c. Drink54at54least54354L54of54fluid54daily-
Consume54foods54high54in54potassium-54restrict54-54ANSWER-
a.54Eat54154g/kg54of54protein54per54day
A54nurse54is54caring54for54a54client54who54is54receiving54intermittent54enteral54tube54f
eedings.54Which54of54the54following54places54the54client54at54risk54for54aspiration?
A. Sitting54in54a54high-Fowler's54position54during54the54feeding
B. A54history54of54gastroesophageal54reflux54disease
C. Receiving54a54high54osmolarity54formula
A54residual54of546554mL54154hr54postprandial?54-54ANSWER-
B.54A54history54of54gastroesophageal54reflux54disease
A54nurse54is54caring54for54a54client54who54is54at543354weeks54of54gestation54following
54an54amniocentesis.54The54nurse54should54monitor54the54client54for54which54of54the
54following54complications?54A.54Vomiting