Nokea
Which client is at greatest risk for a caesarean section due to cephalopelvic disproportion (CPD)?
- A. A 25-year-old gravida 2, para 1
- B. A 30-year-old gravida 3, para 2
- C. A 17-year-old gravida 1, para 0
- D. A 32-year-old gravida 1, para 0
Correct Answer: C
Rationale: A 17-year-old primigravida is at higher risk for CPD due to a potentially underdeveloped pelvis, increasing the likelihood of cesarean delivery.
You may also like to solve these questions
The nurse is infusing total parenteral nutrition (TPN) through a peripherally inserted central catheter. The client's TPN was turned off for 1 hour for an MRI. Which action by the nurse is most appropriate for this client?
- A. notify the health care provider for further orders
- B. discard the volume of the TPN that should have been administered and make a note in the chart
- C. double the flow rate on the infusion for 1 hour to keep the TPN on schedule, and then resume the normal flow rate
- D. increase the flow rate on the infusion for two hours to keep the TPN on schedule, and then resume the normal flow rate
Correct Answer: A
Rationale: Notifying the provider ensures proper adjustment of TPN administration, as altering rates or discarding solution can cause metabolic imbalances.
The nurse knows that a 60-year-old female client's susceptibility to osteoporosis is most likely related to:
- A. Lack of exercise
- B. Hormonal disturbances
- C. Lack of calcium
- D. Genetic predisposition
Correct Answer: B
Rationale: Hormonal changes, particularly estrogen loss post-menopause, are the primary cause of osteoporosis in women.
The nurse is preparing to suction the client with a tracheotomy. The nurse notes a previously used bottle of normal saline on the client's bedside table. There is no label to indicate the date or time of initial use. The nurse should:
- A. Lip the bottle and use a pack of sterile 4x4 for the dressing
- B. Obtain a new bottle and label it with the date and time of first use
- C. Ask the ward secretary when the solution was requested
- D. Label the existing bottle with the current date and time
Correct Answer: B
Rationale: Using an unlabeled, previously opened saline bottle risks contamination; a new, labeled bottle ensures sterility.
A client with emphysema has been receiving oxygen at 3 L per minute by nasal cannula. The nurse knows that the goal of the client's oxygen therapy is achieved when the client's PaO2 reading is:
- A. 50-60 mm Hg
- B. 70-80 mm Hg
- C. 80-90 mm Hg
- D. 90-98 mm Hg
Correct Answer: B
Rationale: For clients with emphysema, a PaO2 of 70-80 mm Hg indicates adequate oxygenation without suppressing the respiratory drive.
The nurse is assessing a client at home who is receiving outpatient hemodialysis 12 hours a week. The nurse knows the client needs further instruction about proper diet when he states which of the following?
- A. I drink prune juice when I'm constipated.
- B. I drink ginger ale with lunch.
- C. I drink 1 cup of milk with my dinner.
- D. My bread choice is white rather than whole grain.
Correct Answer: C
Rationale: Milk is high in phosphorus and potassium, which should be limited in hemodialysis patients to prevent electrolyte imbalances.