A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

Encourage the client to void often.

Assist the client in remaining awake between contractions.

Minimize the client's position changes.

Limit the amount of time the support person remains in the room.

Answer and Explanation

The Correct Answer is A

A)   Correct - Encouraging the client to void often is important, as a full bladder can increase discomfort and interfere with labor progress.
B)   Incorrect- Remaining awake between contractions might not directly address pain management strategies.
C)   Incorrect- Position changes can help with pain management, so minimizing them would not be appropriate.
D)   Incorrect- The presence of a support person is often encouraged during labor, and there is no need to limit their time in the room.

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Correct Answer is B

Explanation

A) Incorrect- Elevating a baby's head with a cushion during sleep is not recommended, as it can increase the risk of sudden infant death syndrome (SIDS) and obstructed breathing.
B) Correct - "I should replace the batteries in my smoke detector twice per year." Regularly replacing smoke detector batteries helps ensure they function properly in case of a fire emergency.
C) Incorrect- Setting the hot water heater to 130°F (54.4°C) is too hot and can cause scalding burns. The recommended temperature is 120°F (48.9°C) or lower.
D) Incorrect- Baby powder is not recommended for use with diaper changes, as it can be inhaled by the baby and lead to respiratory issues.

A. Amoxicillin B. Tetracycline C. Metronidazole D. Acyclovir

Correct Answer is A

Explanation

A) Correct- Amoxicillin is a safe and effective antibiotic for treating chlamydia infection in pregnant women.
B) Incorrect - Tetracycline and related antibiotics are often used to treat chlamydia, but they are contraindicated during pregnancy due to potential effects on fetal tooth and bone development. is contraindicated in pregnancy because it can cause fetal tooth discoloration and bone deformities.
C) Incorrect- Metronidazole is used for treating bacterial vaginosis and certain other infections, but it is not the first-line treatment for chlamydia.
D) Incorrect- Acyclovir is used to treat herpes simplex virus infections, not chlamydia.

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A nurse is caring for a client who is in the early stages of labor and requests nonpharmacological interventions for pain. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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