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A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth.
Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?
- A. Administer NSAIDs every 4 to 6 hr.
- B. Apply warm, moist packs to the client's lower legs.
- C. Apply elastic stockings before the client gets out of bed.
- D. Have the client ambulate as often as possible.
Correct Answer: D
Rationale: Early and frequent ambulation promotes circulation, reducing venous stasis and the risk of thrombophlebitis.
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A nurse is reviewing the facility protocol about newborn identification and safety with a new parent.
Which of the following information should the nurse include?
- A. We will scan your baby's identification bracelet each time we check on him.
- B. Your baby will wear an electronic bracelet when he is out of your room.
- C. We will match the bracelet on your baby with his footprint record each shift
- D. You should check the identity of individuals who come to remove your baby from the room.
Correct Answer: D
Rationale: Parents should verify the identity of staff to prevent infant abduction, enhancing safety.
A nurse is reinforcing teaching with a client who is at 10 weeks of gestation regarding the purposes of laboratory tests.
Which of the following statements by the client indicates an understanding of the teaching?
- A. Urine specific gravity identifies my risk for pregnancy-induced hypertension.
- B. White blood cell count is an indicator of anemia.
- C. Platelet count identifies if I am at risk for bleeding.
- D. Sedimentation rate checks for signs of cancer.
Correct Answer: C
Rationale: Platelet count assesses clotting function, identifying bleeding risk in conditions like gestational thrombocytopenia.
A nurse is reinforcing teaching about car seat safety with a parent of a newborn.
Which of the following statements by the parent indicates an understanding of the teaching?
- A. I should place my baby in the car seat at a 50 degree angle.
- B. I will place the retainer clip at the level of my baby's armpits.
- C. I will place a thick, soft pad behind my baby's back.
- D. I can turn the car seat so it faces forward when my baby weighs 15 pounds.
Correct Answer: B
Rationale: The chest clip should be at armpit level to ensure proper harness positioning for maximum safety.
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to start chemotherapy immediately.
- B. I will need an amniocentesis within 1 month.
- C. I will need to attend a support group when I get home.
- D. I will need home palliative services after I am discharged from the hospital
Correct Answer: C
Rationale: A support group provides emotional support for the loss and concerns associated with a molar pregnancy.
A nurse is caring for a client who is at 9 weeks of gestation and reports nausea in the morning that continues until midafternoon.
Which of the following actions should the nurse encourage the client to take?
- A. Take an over-the-counter antacid
- B. Eat dry, bland foods in the morning
- C. Restrict fluids to 1,000mL/day
- D. Increase intake of fresh fruits
Correct Answer: B
Rationale: Eating dry, bland foods like crackers in the morning stabilizes blood sugar and reduces nausea.