A nurse in an acute care facility is admitting an older adult client diagnosed with Alzheimer’s disease.
The nurse notes that the client’s partner appears exhausted.
He states that he is finding it more and more difficult to care for his wife.
Which of the following interventions is the nurse’s priority?

Ask the partner to talk about his difficulties in caring for the client.

Recommend that the partner place the client in a long-term care facility.

Tell the partner to call a family meeting to get help.

Suggest that the partner see a counselor to help him cope with his exhaustion.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Asking the partner to talk about his difficulties in caring for the client is the nurse’s priority. This intervention allows the nurse to assess the partner’s emotional state and provide appropriate support and resources.

Choice B rationale

Recommending that the partner place the client in a long-term care facility may not be the best initial intervention. The decision to place a loved one in a long-term care facility is complex and involves many factors. The nurse should first assess the partner’s needs and concerns before making such a recommendation.

Choice C rationale

Telling the partner to call a family meeting to get help may be a helpful suggestion, but it is not the nurse’s priority. The nurse should first assess the partner’s emotional state and needs before suggesting specific interventions.

Choice D rationale

Suggesting that the partner see a counselor to help him cope with his exhaustion may be a helpful intervention, but it is not the nurse’s priority. The nurse should first assess the partner’s emotional state and needs before suggesting specific interventions.

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Correct Answer is A

Explanation

Choice A rationale

Magnesium sulfate is used in preterm labor to suppress contractions and delay the birth of a preterm baby. It works by lowering the amount of calcium in the uterine muscles, which in turn encourages muscle relaxation. This effect can help slow or inhibit contractions, allowing more time for the administration of corticosteroids before birth. Corticosteroids can improve a baby’s lung function and reduce the risk of dying by 40 percent if given within 48 hours. Therefore, magnesium sulfate is used to stop preterm labor contractions.

Choice B rationale

Magnesium sulfate does not directly increase the fetal heart rate. Its primary role in the context of preterm labor is to inhibit contractions.

Choice C rationale

While magnesium sulfate is used in the context of preterm labor, it does not directly promote fetal lung maturity. However, by delaying delivery, it allows more time for the administration of corticosteroids, which can enhance the baby’s lung function.

Choice D rationale

While magnesium sulfate can have a muscle-relaxing effect, its primary use in the context of preterm labor is not to promote relaxation or alleviate anxiety in the mother. Its main role is to inhibit uterine contractions.

A. Hypoglycemia. B. Neonatal abstinence syndrome. C. Hyperbilirubinemia. D. Drug withdrawal symptoms.

Correct Answer is A

Explanation

Choice A rationale

Hypoglycemia is a common complication in newborns, especially those who are 8 hours old. The newborn’s body has not yet fully developed the ability to regulate blood sugar levels, leading to hypoglycemia.

Choice B rationale

Neonatal abstinence syndrome is typically seen in newborns exposed to addictive illegal or prescription drugs while in the mother’s womb. Without additional context, it’s not clear if this applies to the newborn in question.

Choice C rationale

Hyperbilirubinemia, or jaundice, is a condition that can occur in newborns, usually a few days after birth. However, it’s less likely to develop within the first 8 hours of life.

Choice D rationale

Drug withdrawal symptoms are similar to neonatal abstinence syndrome and occur in newborns who have been exposed to certain drugs while in the womb. Again, without additional context, it’s not clear if this applies to the newborn in question.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.The client has a new prescription for magnesium sulfate.Which of the following explanations should the nurse provide about the purpose of this medication?

Correct Answer is A

Explanation

A nurse is caring for a newborn who is 8 hours old.Based on the information in the newborn’s medical record, the nurse determines that the newborn is at risk for developing which of the following complications?

Correct Answer is A

Explanation

A nurse is caring for a client who is in premature labor and is receiving terbutaline.Which of the following adverse effects should the nurse monitor for and report to the provider?

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