Nokea
To maximize absorption, what supplement should a client take with calcium?
- A. Vitamin D.
- B. Vitamin E.
- C. Folic acid.
- D. Iron.
Correct Answer: A
Rationale: Vitamin D enhances calcium absorption.
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The nurse is educating a client with gestational hypertension about home care. What instruction should the nurse include?
- A. Monitor your blood pressure once a week.
- B. Report any sudden swelling or weight gain.
- C. Increase sodium intake to maintain hydration.
- D. Avoid taking daily medications.
Correct Answer: B
Rationale: Sudden swelling or rapid weight gain may indicate worsening gestational hypertension or preeclampsia.
Relaxation of muscles in labor provides many benefits. What is one benefit of this technique in labor?
- A. Relaxation will prevent a cesarean section.
- B. Relaxation of the pelvic floor helps in pushing the fetus in the second stage.
- C. Relaxation of the abdomen ensures an unmedicated birth.
- D. Relaxation causes the contractions to decrease in strength.
Correct Answer: B
Rationale: Relaxing the pelvic floor facilitates smoother fetal descent during the second stage of labor.
A postpartum client calls the pediatric clinic to report that her 4-day old female newborn has a spot of blood on her diaper. Which of the following statements made by the nurse is most appropriate?
- A. Your newborn may have a urinary infection, continue to breastfeed frequently
- B. Your newborn has jaundice so it may need phototherapy
- C. This is a normal finding due to withdrawal of maternal hormones
- D. Your baby has an immature immune system, continue to breastfeed frequently
Correct Answer: C
Rationale: Pseudomenstruation is a normal finding due to hormonal withdrawal.
The nurse notes that an older adult client receives only one visitor and asks the client if family members could be called. The client states, 'I consider her to be all of my family.' What would the nurse consider in responding to the client?
- A. The nurse could encourage the client to reconnect with other family members.
- B. The client defines who is and who is not part of the family without undue influence.
- C. The nurse realizes individuals exist without a family and do not often adopt substitutes.
- D. Family is more important to those individuals with a large number of family members.
Correct Answer: B
Rationale: It is important for nurses to remain neutral to all they hear and see in order to enhance trust and maintain open communication lines with all family members. Nurses need to remember that clients are experts of their own health and can define their own family.
What comment by a perimenopausal client indicates the need for further teaching?
- A. The calendar method is the most reliable method for me to use.
- B. If I use the IUD, I am at minimal risk for pelvic inflammatory disease.
- C. I should still use birth control even though I had only 2 periods last year.
- D. The contraceptive patch contains both estrogen and progesterone.
Correct Answer: A
Rationale: The calendar method is unreliable for perimenopausal women.