PAPER COMPLETE QUESTIONS WITH EXPERT
SOLUTIONS AND MARKING SCHEME
◉ number of births after 20 weeks
Answer: Para
◉ pregnant for the first time
Answer: primigravida
◉ a 26 year old gravida-4, para-0 had a spontaneous abortion at 9
weeks gestation. at one house post dilation and curettage (D&C) the
nurse assess the vital signs and vaginal bleeding. the client begins to
cry softly. how should the nurse intervene?
Answer: express sorrow for the clients grief and offer to sit with her.
◉ A 26 year-old primigravida who delivered a 7-pound male infant
26 hours ago tells the nurse that she is confused about when she and
her husband can return to having sexual intercourse. What info
should the nurse reinforce with this client?
Answer: they can have intercourse when the episiotomy is healed
and the lochial flow has stopped
,◉ 36 hours after delivery, the nurse determines a clients fundus is
just above the umbilicus and displaced to the right of midline. what
action should the nurse take first?
Answer: palpate the bladder for distention
◉ a 60 year old client with cancer of the liver is in hepatic coma and
unresponsive. what should the nurse say to family members were
inquiring about the condition of their loved one?
Answer: "Your loved ones condition is very critical, and there has
been no response in the last 24 hours"
◉ a 67 year old woman who lives alone tripped on a rug in her home
and fractured her right hip. the nurse knows that which
predisposing factor contributes to the occurrence of hip fractures
among elderly women.
Answer: osteoporosis resulting from hormonal changes.
◉ a 75 year old male client with Alzheimer disease is admitted to an
extended care facility. what intervention should the nurse include
into the his clients Nursing care plan?
Answer: plan to have the same nursing staff provide care for the
client whenever possible.
◉ an 82-year old client is admitted to the hospital with a fractured
right hip. following surgical repair, a footboard is placed at the
, clients feet. what is the reason the nurse will offer concerning the
footboard?
Answer: footboard is used to prevent foot drop.
◉ An adult female client is admitted to the psychiatric unit with
diagnosis of major depression. After 2 weeks of antidepressant
medication therapy, the nurse notices the client has more energy, is
giving her belongings away to her visitors, and is in an overall better
mood. Which intervention is best for the nurse to implement?
Answer: ask the client if she has had any recent thoughts of harming
herself.
◉ an adult male client tells the nurse that he believes someone is
trying to obtain his cpu records, which his wife reports are
recreational in nature. the client insist that an elaborate alarm
system needs to be installed in his home. the nurse knows that this
client is exhibiting which signs or symptoms?
Answer: delusions of persecution
◉ After a change of shift report, the nurse makes rounds on a
postoperative unit. Which client finding necessitates the immediate
attention of the nurse?
Answer: A. A client who is having bright red drainage from the
rectum following a colonoscopy with a polyp removal