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37. Albumin 25% IV is prescribed for a child with nephrotic syndrome. Which assessment finding indicates to the nurse that the medication is having desired effect? a. Weight gain. b. Reduction of fever. c. Improved caloric intake. d. Reduction of edema. 38. The nurse is conduction postpartum teaching with a mother who is breastfeeding her infant. When discussing birth control which method should the nurse recommend to this client as best for her to use in preventing unwanted pregnancy? a. Breastfeed exclusively at least every 3 to 4 hours. b. Condoms and contraceptive foam or gel. c. Rhythm method (natural family planning). d. Combined estrogen-progesterone oral contraceptives. 39. A community health nurse visits a family in which a 16-year-old unmarried daughter is pregnant with her first child and is at 32-weeks gestation. The client tells the nurse that she has been having intermittent back pain since the night before. What is the priority nursing intervention? a. Ask the client’s mother to call an ambulance for transport to the hospital immediately. b. Determine what physical activates the client has performed for the past 24hrs. c. Teach the client how to perform pelvic rock exercises and observe for correct feedback. d. Ask the client ifshe has experienced any recent changes in vaginal discharge. 40. A young girl with a fractured radius has a cast applied. As the cast is drying, it is elevated above the level of her heart. Which assessment finding should the nurse report to the healthcare provider immediately? a. Itching sensation under the cast. b. Swelling of fingers with brisk capillary refill. c. Numbness and inability to move fingers. d. Visible bruising above the cast. 41. At 39-weeks gestation, a multigravida is having a nonstress test (NST), the fetal heart rate (FHR) has remained non-reactive during 30 minutes of evaluation. Based on this finding, which action should the nurse implement? a. Initiate an intravenousinfusion. b. Observe the FHR pattern for 30 more minutes. c. Schedule a biophysical profile. d. Place an acoustic stimulator on the abdomen. 42. A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl and a hematocrit of 25.1 %. What food should the nurse encourage this client to include in her diet? a. Carrots b. Chicken c. Yogurt d. Cheese 43. The nurse is preparing to administer methylergonovine maleate (Methergine) to a postpartum client. Based on what assessment finding should the nurse withhold the drug? a. Respiratory rate of 22 breaths/min b. A large amount of lochia rubra c. Blood pressure 149/90 d. Positive Homan’ssign 44. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement? a. Begin a training program lifting weights and running b. Splint affected joints during activity c. Exercise in a swimming pool d. Perform passive range of motion exercises twice daily 45. A client receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important for the nurse to obtain each time the infusion rate is increased? a. Pain level b. Blood pressure c. Infusion site d. Contraction pattern 46. A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly? a. Discussthe need for cortisol and aldosterone replacement therapy after discharge b. Support the parents in their decision to assign sex of their child according to their preference c. Offer information about ultrasonography and genotyping to determine sex assignment d. Explain that corrective surgical procedures consistent with sex assignment can be delayed 47. The nurse assessing a 9-year old boy who has been admitted to the hospital with possible acute post streptococcal glomerulonephritis (APSGN). In obtaining his history, what information is most significant? a. Back pain for a few days b. A history of hypertension c. A sore throats last week d. Diuresis during the nights