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In many cultures, pregnancy is viewed as a natural rather than a medical condition. How does this affect prenatal care?
- A. Pregnant women often seek prenatal care later and less frequently.
- B. These views have little effect on prenatal care.
- C. Pregnant women believe prenatal care is harmful to the fetus.
- D. These views often result in increased rates of fetal mortality.
Correct Answer: A
Rationale: Viewing pregnancy as natural (A) often leads to delayed or less frequent prenatal care, impacting monitoring. Harmful beliefs (C) or increased mortality (D) are not directly implied.
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Which instruction should be given to the client who is fitted for a behind-the-ear hearing aid?
- A. Remove the mold and clean every week.
- B. Store the hearing aid in a warm place.
- C. Clean the lint from the hearing aid with a toothpick.
- D. Change the batteries weekly.
Correct Answer: A
Rationale: Regular cleaning of the hearing aid mold prevents wax buildup and ensures proper function.
A client in restraints is assigned to a newly graduated nurse. The nurse understands that which of the following are true regarding restraints? Select all that apply.
- A. Restraints can be chemical, mechanical, or physical.
- B. Children under 9 years of age have a 30-minute time limit in restraints.
- C. Bed rails are a form of restraint if used to prevent the client from leaving the bed.
- D. Restraints must be assessed every 2 hours for proper application and continued need.
- E. Once released, the client may be placed back in restraints for up to 24 hours if needed.
- F. Active listening, diversionary techniques, and reducing stimulation are alternatives to restraints.
Correct Answer: A, C, F
Rationale: Restraints include chemical, mechanical, or physical methods; bed rails are restraints if used to restrict movement; and non-restraint alternatives like active listening are preferred. Pediatric time limits and reassessment frequency vary by policy, and reapplication requires new orders.
A home health nurse is making preparations for morning visits. Which one of the following clients should the nurse visit first?
- A. AÂ W client with a stroke with tube feedings
- B. A client with congestive heart failure complaining of nighttime dyspnea
- C. A client with a thoracotomy six months ago
- D. A client with Parkinson's disease
Correct Answer: B
Rationale: Nighttime dyspnea suggests acute heart failure exacerbation, requiring priority.
The graduate nurse is assigned to care for the client on ventilator support, pending organ donation. Which goal should receive priority?
- A. Maintaining the client's systolic blood pressure at 70 mmHg or greater
- B. Maintaining the client's urinary output greater than 300 cc per hour
- C. Maintaining the client's body temperature of greater than 33°F rectal
- D. Maintaining the client's hematocrit at less than 30%
Correct Answer: A
Rationale: Adequate blood pressure ensures organ perfusion for donation.
The client is admitted to the unit after a motor vehicle accident with a temperature of 102°F rectally. The most likely explanations for the elevated temperature is that:
- A. There was damage to the hypothalamus.
- B. He has an infection from the abrasions to the head and face.
- C. He will require a cooling blanket to decrease the temperature.
- D. There was damage to the frontal lobe of the brain.
Correct Answer: B
Rationale: Infection from abrasions is the most likely cause of fever post-accident, as it's a common complication.