GCC 1151 - 1175

The nurse is caring for a gravida 1 admitted in labor. Which finding would suggest the need for an internal fetal monitor?

• The cervix is dilated 5cm.
• The fetal heart tones are difficult to assess using the external toco monitor.
• The fetus is at station 0.
• Contractions are every 3 minutes.
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Which of the following diet instructions should be given to the client with recurring urinary tract infections?

• Increase intake of meats
• Avoid citrus fruits
• Perform pericare with hydrogen peroxide
• Drink a glass of cranberry juice every day
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The nurse is providing discharge teaching for a client taking dissulfiram (Antabuse). The nurse should instruct the client to avoid eating:

• Peanuts, dates, raisins
• Figs, chocolate, eggplant
• Pickles, salad with vinaigrette dressing, beef
• Milk, cottage cheese, ice cream
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An antenatal client is discussing her anemia with the nurse in the prenatal clinic. After a discussion about sources of iron to be incorporated into her daily meals, the nurse knows the client needs further instruction when she responds with which of the following?

• I can meet two goals when I drink milk, lots of iron and meeting my calcium needs at the same time.
• Drinking coffee, tea, and sodas decrease the absorption of iron.
• I can increase the absorption of iron by drinking orange juice when I eat.
• Cream of wheat and molasses are excellent sources of iron.
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Which condition places a patient at risk for an embolic stroke?

• Atrial fibrillation
• Bradycardia
• Deep vein thrombosis
• A history of MI
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A middle-aged client has a strong positive family history of type 2 diabetes mellitus. The best method to prevent or delay the development of this disease in this client is to:

• Test serum glucose values monthly.
• Avoid starches and sugars in the diet.
• Obtain a normal body weight and exercise regularly.
• Maintain a normal serum lipid panel.
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A 40-year-old client is curious about visible appearance changes related to menopause. In general, menopausal clients experience:

• Bone loss and fractures.
• Loss of muscle mass and increased fat tissue.
• Improved skin turgor and elasticity.
• A reduction in waist size.
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Which of the following skin lesions is associated with Lyme's disease?

• Bull's eye rash
• Papular crusts
• Bullae
• Plaques
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A client develops tremors while withdrawing from alcohol. Which medication is routinely administered to lessen physiological effects of alcohol withdrawal?

• Dolophine (methodone)
• Klonopin (clonazepam)
• Narcan (naloxone)
• Antabuse (disulfiram)
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A patient, age 41, undergoes a right upper lobectomy. Postoperatively, he has a chest tube connected to an underwater seal with suction. One day after surgery, the nurse detects no bubbling in the suction compartment. What would be the best nursing action at this time?

• Milk the chest tube, using slow, even strokes.
• Add more sterile water to the suction compartment.
• Check the practitioner's order for amount of suction, and increase pressure until gentle bubbling occurs.
• Check the practitioner's order for amount of suction, and increase the water seal by 3.9"(10 cm).
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