A client is suspected of having a ruptured ectopic pregnancy. Which assessment would the nurse identify as the priority?
Hemorrhage
Edema
Infection
Jaundice
The Correct Answer is A
Choice A reason: Hemorrhage is the most life-threatening complication of a ruptured ectopic pregnancy, as it can lead to hypovolemic shock and death. The nurse should monitor the client's vital signs, blood loss, and level of consciousness, and administer fluids and blood products as ordered.
Choice B reason: Edema is not a common sign of a ruptured ectopic pregnancy, and it is not a priority over hemorrhage. Edema may be caused by other conditions, such as heart failure, kidney disease, or venous insufficiency.
Choice C reason: Infection is a possible complication of a ruptured ectopic pregnancy, but it is not as urgent as hemorrhage. Infection may manifest as fever, chills, malaise, or foul-smelling vaginal discharge. The nurse should administer antibiotics as ordered and monitor the client's temperature and white blood cell count.
Choice D reason: Jaundice is not a typical symptom of a ruptured ectopic pregnancy, and it is not a priority over hemorrhage. Jaundice may indicate liver dysfunction or hemolytic anemia, which are unrelated to ectopic pregnancy. The nurse should assess the client's skin and sclera color, and check the liver enzymes and bilirubin levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
To calculate how many capsules to administer per dose, the nurse should divide the ordered dose by the available dose and round to the nearest whole number.
The ordered dose is 50 mg.
The available dose is 25 mg per capsule.
Therefore, the number of capsules to administer per dose is 50 mg / 25 mg = 2 capsules.
The answer should be rounded to the nearest whole number and use a leading zero if it applies. Do not use a trailing zero.
Therefore, the final answer is 2 capsules.
Correct Answer is D
Explanation
Choice A Reason: This is incorrect because ferrous sulfate is an iron supplement that is used to treat or prevent iron-deficiency anemia. It has no effect on magnesium sulfate, which is a medication that lowers blood pressure and prevents seizures in severe preeclampsia.
Choice B Reason: This is incorrect because potassium chloride is an electrolyte supplement that is used to treat or prevent low levels of potassium in the blood. It has no effect on magnesium sulfate, which can cause hypermagnesemia, or high levels of magnesium in the blood.
Choice C Reason: This is incorrect because calcium carbonate is an antacid that is used to treat or prevent heartburn, indigestion, or calcium deficiency. It has no effect on magnesium sulfate, which can cause hypocalcemia, or low levels of calcium in the blood.
Choice D Reason: This is correct because calcium gluconate is an antidote that is used to treat magnesium toxicity, which can occur when magnesium sulfate is given in high doses or for prolonged periods. Calcium gluconate reverses the effects of magnesium sulfate on the neuromuscular and cardiovascular systems, such as muscle weakness, respiratory depression, cardiac arrhythmias, or cardiac arrest.
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