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Quiz 2: Nursing Care Of The Client With Specific Health Needs

27 Questions  I  By PNweekend
Quiz 2: Nursing care of the client with  specific health needs
Select the correct response from list supplied. Multiple response or True/False options may be required.

  
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Question Excerpt

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1.  A nurse is assisting in caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy (DIC). Which of the following findings is least likely associated with DIC
A.
B.
C.
D.
2.  A nurse is assigned to care for a client who is in early labor. When collecting data from the client, it is most important for the nurse to first determine which of the following?
A.
B.
C.
D.
3.  During a prenatal visit, a nurse is explaining dietary management to a client with diabetes mellitus. The nurse determines that the teaching has been effective when the client states:
A.
B.
C.
D.
4.  A pregnant client who is anemic tells the nurse that she is concerned about what her baby's condition will be following delivery. Which nursing response would best support the client?
A.
B.
C.
D.
5.  A nurse is monitoring a pregnant client with gestational hypertension who is at risk for pre-eclampsia. The nurse checks the client for which classic signs of preeclampsia? (Select all that apply)
A.
B.
C.
D.
E.
6.  A client is undergoing an amniocentesis at 16 weeks gestation to detect the presence of biochemical or chromosomal abnormalities. The nurse instructs the client:
A.
B.
C.
D.
7.  A nurse has assisting in developing a plan of care for the client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which nursing intervention as the highest priority?
A.
B.
C.
D.
8.  A nurse is caring for a pregnant client who was diagnosed with acquired immunodeficiency syndrome (AIDS). The client asks the nurse if she will be able to breast-feed the infant after delivery. Which response by the nurse is appropriate?
A.
B.
C.
D.
9.  A nurse assisting the labor room is preparing to care for a client with hypertonic dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. The priority nursing intervention in caring for the client is to:
A.
B.
C.
D.
10.  A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at minus one station. The nurse determines that the fetal presenting part is:
A.
B.
C.
D.
11.  A nurse is teaching a pregnancy client about the warning signs in pregnancy and prepares a list of the warning signs that indicate the need to notify the physician. Which of the following would be included on the list? (Select all that apply)
A.
B.
C.
D.
E.
12.  A nurse is collecting data from a pregnant client with a history of heart disease. The nurse is checking for venous congestion. The nurse inspects which of the following areas, knowing that venous congestion is most commonly noted here?
A.
B.
C.
D.
13.               A nurse is assisting in preparing a plan of care for a client who just delivered a dead fetus. The appropriate initial intervention in meeting the emotional needs of the client and her spouse is which of the following?
A.
B.
C.
D.
14.  A contraction stress test is scheduled for a client. The woman asks the nurse about the test. The most accurate description of the test includes which of the following?
A.
B.
C.
D.
15.  A primigravida's membranes rupture spontaneously. The nurse's first action is to:
A.
B.
C.
D.
16.  A licensed practical nurse (LPN) is assisting in gathering information on a client who is scheduled for a cesearean delivery. Which of the following findings would indicate a need to contact the registered nurse (RN)?
A.
B.
C.
D.
17.  A nonstress test is prescribed for a pregnant client, and the client asks the nurse about the procedure. Which of the following information will the nurse provide to the client?
A.
B.
C.
D.
18.  A nurse has a teaching session with a malnourished client regarding iron supplementation to prevent anemia during pregnancy. Which of the following statements, if made by the client, would indicate successful learning?
A.
B.
C.
D.
19.  The nurse is monitoring a client in labor whose membranes rupture spontaneously. The initial nursing action is to:
A.
B.
C.
D.
20.  A nurse in the labor room is assisting in caring for a client in the active stage of labor. The nurse is told that the fetal patterns show a late deceleration on the monitor strip. Based on this finding, the nurse prepares for which appropriate nursing action?
A.
B.
C.
D.
21.  During the intrapartum period, a nurse is caring for a laboring client with sickle cell disease. The nurse ensures that the client receives appropriate intravenous (IV) fluid intake and oxygen consumption to primarily:
A.
B.
C.
D.
22.  While assisting with the measurement of fundal height, the client at 36 weeks gestation states that she is feeling lightheaded. On the basis of the nurse's knowledge of pregnancy, the nurse determines that this is most likely due to:
A.
B.
C.
D.
23.  The nurse is assigned to assist with caring for a client who has been admitted to the labor unit. The client is 9 cm dilated and is experiencing precipitous labor. A priority nursing action is to:
A.
B.
C.
D.
24.  A nurse is assigned with caring for a client with abruptio placentae who is experiencing vaginal bleeding. The nurse collects data from the client knowing that abruptio placentae is accompanied by which additional finding?
A.
B.
C.
D.
25.  A nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which of the following nursing actions is appropriate?
A.
B.
C.
D.
26.  A nurse is collecting data from a client who has been diagnosed with placenta previa. Choose the findings that the nurse would expect to note. (Select all that apply)
A.
B.
C.
D.
E.
27.  A blood glucose measurement is performed on a pregnant client. The results indicate that her blood glucose is elevated. Which of the following would the nurse anticipate to be prescribed for the mother?
A.
B.
C.
D.
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