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A nurse is caring for a 28-year-old female client who is gravida 1 para 0 at 32 weeks of gestation in the prenatal unit.

Exhibits

The nurse is providing teaching about tocolytic medication. Which of the following statements should the nurse include? Select all that apply.

"I will inject this medication under your skin."

"You may experience a headache after receiving this medication."

"It is common for this medication to make you feel jittery."

"This medication should decrease your contractions."

"I'll check your reflexes frequently while you are receiving this medication."

"This medication can make your heart beat faster."

"This medication can increase your blood pressure."

Answer and Explanation

Correct Answer : B,C,D,E,F

B. "You may experience a headache after receiving this medication."

Some tocolytic medications can cause headaches as a side effect.

C. "It is common for this medication to make you feel jittery."

Tocolytic medications, such as terbutaline, can cause nervousness or jitteriness.

D. "This medication should decrease your contractions."

The primary purpose of tocolytic medication is to decrease uterine contractions and delay preterm labor.

E. "I'll check your reflexes frequently while you are receiving this medication."

Some tocolytic medications, like magnesium sulfate, require monitoring of deep tendon reflexes to assess for potential toxicity.

F. "This medication can make your heart beat faster."

Tocolytic medications, such as terbutaline, can increase heart rate.

These statements provide the client with a comprehensive understanding of the purpose of the medication and its potential side effects.

The incorrect statements are:

A. "I will inject this medication under your skin.": Tocolytic medications are typically administered orally, intravenously, or intramuscularly, not subcutaneously.
G. "This medication can increase your blood pressure.": Some tocolytic medications, like magnesium sulfate, can actually lower blood pressure rather than increase it.

Nursing Test Bank

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Correct Answer is B

Explanation

Choice A rationale

Informing the client to expect dark-colored stools is inaccurate for methotrexate administration. Dark stools typically indicate gastrointestinal bleeding, not a side effect of methotrexate.

Choice B rationale

Wearing two pairs of gloves is necessary when handling methotrexate as it is a cytotoxic drug. This protects healthcare workers from accidental exposure to the medication, which can be harmful.

Choice C rationale

Methotrexate is typically administered intramuscularly or orally, not subcutaneously. Administering it subcutaneously is incorrect and would not be effective for treating an ectopic pregnancy.

Choice D rationale

While it is essential to counsel the client on safe intercourse practices, instructing to use a condom for only 7 days post-administration is not specific or relevant to the methotrexate therapy for ectopic pregnancy.

A. Determine if the newborn's mouth and nose require bulb suctioning. B. Initiate skin-to-skin contact between parent and newborn. C. Place the newborn under a radiant warmer. D. Provide tactile stimulation for the newborn.

Correct Answer is A

Explanation

Choice A rationale

Suctioning the mouth and nose ensures that the airway is clear of any meconium-stained fluid, which can cause respiratory issues in the newborn if inhaled.

Choice B rationale

While skin-to-skin contact is beneficial for bonding and temperature regulation, ensuring the airway is clear is a higher immediate priority.

Choice C rationale

Placing the newborn under a radiant warmer helps maintain body temperature but is secondary to ensuring the airway is clear of meconium-stained fluid.

Choice D rationale

Tactile stimulation is important for encouraging breathing, but first ensuring the airway is clear takes precedence.

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A nurse is caring for a 28-year-old female client who is gravida 1 para 0 at 32 weeks of gestation in the prenatal unit. Exhibits The nurse is providing teaching about tocolytic medication. Which of the following statements should the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer methotrexate to a client who is experiencing an ectopic pregnancy.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a newborn immediately following birth.The newborn has meconium-stained amniotic fluid.Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation and has a history of anemia.Which of the following results should the nurse identify and report as an indication of a prenatal complication?

A nurse is admitting a client who is at 9 weeks of gestation and in active labor when screened at 6 weeks of gestation.Which of the following actions should the nurse take?

A nurse is assessing a client who has preeclampsia and received a dose of calcium gluconate to treat magnesium sulfate toxicity.Which of the following findings should the nurse identify as an indication that calcium gluconate was effective?

A nurse is teaching routine prenatal care to a group of clients who are pregnant.Which of the following statements by a client indicates an understanding of the teaching?

A nurse is providing teaching for a client who is 2 weeks postpartum and has mastitis.Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a postpartum client who is breastfeeding their newborn and reports that their nipples have become sore and cracked.Which of the following statements should the nurse make?

A charge nurse is preparing to discuss actions to take for clients who require an amniotomy during labor with a newly licensed nurse.Which of the following statements should the charge nurse include during the discussion?

A nurse is caring for a 28-year-old female client who is gravida 1 para 0 at 32 weeks of gestation in the prenatal unit.

Exhibits

The nurse is providing teaching about tocolytic medication. Which of the following statements should the nurse include? Select all that apply.