GCC 451 - 475

After conducting a presentation to a group of adolescent parents on the topic of adolescent pregnancy, the nurse determines that one of the parents needs further instruction when the parent says that adolescents are at greater risk for which of the following?

• Denial of the pregnancy.
• Low-birth-weight infant.
• Cephalopelvic disproportion.
• Congenital anomalies.
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A patient is taking isoniazid to treat TB. Which instruction should the nurse give him about this drug?

• Drinking alcohol daily can cause drug-induced hepatitis.
• Taking isoniazid with aluminum hydroxide minimizes GI upset.
• Isoniazid is best absorbed when taken on an empty stomach.
• Prolonged use of isoniazid causes dark, concentrated urine.
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Which information obtained from the mother of a child with cerebral palsy most likely correlates to the diagnosis?

• She was born at 42 weeks gestation.
• She had meningitis when she was 6 months old.
• She had physiologic jaundice after delivery.
• She has frequent sore throats.
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At 32 weeks’ gestation, a 15-year-old primigravid client who is 5 feet, 2 inches tall has gained a total of 20 lb, with a 1-lb gain in the last 2 weeks. Urinalysis reveals negative glucose and a trace of protein. The nurse should advise the client that which of the following factors increases her risk for preeclampsia?

• Total weight gain.
• Short stature.
• Adolescent age group.
• Proteinuria.
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The nurse collects a urine specimen from a client’s indwelling urinary catheter. Which method is the correct procedure for obtaining a urine specimen from an indwelling urinary catheter?

• Place a new drainage bag on the catheter and collect the specimen from the bag.
• Disconnect the catheter tubing from the drainage bag and drain urine from the tubing into a specimen cup.
• Remove the catheter and insert a straight catheter to collect the specimen.
• Clean the sampling port on the catheter with an alcohol pad and insert a sterile needle with syringe into the port.
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A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:

• Hypothyroidism
• Diabetic ulcers
• Ulcerative colitis
• Pneumonia
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Which laboratory values will a nurse interpret as confirming a patient’s diagnosis of pancreatitis?

• Elevated amylase, elevated lipase, elevated serum glucose, and decreased serum calcium levels
• Elevated amylase, elevated lipase, decreased serum glucose, and decreased serum calcium levels
• Decreased amylase, decreased lipase, elevated serum glucose, and increased serum calcium levels
• Decreased amylase, decreased lipase, decreased serum glucose, and increased serum calcium levels
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A client complains of progressively worsening shortness of breath since cutting the grass 3 days ago. The client has a history of asthma. The nurse knows this client is having a severe exacerbation and should immediately receive:

• High doses of inhaled short-acting beta2-agonist.
• Intravenous fluids.
• Oxygen.
• Systemic corticosteroids.
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The nurse explains the complications of pregnancy that occur with diabetes to a primigravid client at 10 weeks’ gestation who has a 5-year history of insulin-dependent diabetes. Which of the following, if stated by the client as a complication, indicates the need for additional teaching?

• Candida albicans infection.
• Twin-to-twin transfer.
• Polyhydramnios.
• Preeclampsia.
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A client arrives after a house fire. What clinical manifestation is most indicative of possible carbon monoxide poisoning?

• Pulse oximetry reading of 80%
• Expiratory stridor and nasal flaring
• Cherry-red color to the mucous membranes
• Presence of carbonaceous particles in the sputum
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