A nurse is measuring the fundal height of a client who is at 36 weeks of gestation. The client suddenly reports nausea. Which of the following actions should the nurse take?

Administer propranolol IV to the client

Position the client on her side.

Ask the client to increase her daily calcium intake.

Use Leopold maneuvers to determine the fetal position.

Answer and Explanation

The Correct Answer is B

A. Administer propranolol IV to the client: Propranolol is a beta-blocker used to treat hypertension and certain cardiac conditions. It is not indicated for sudden nausea during pregnancy and could be harmful if administered without cause.
B. Position the client on her side: At 36 weeks, the gravid uterus can compress the inferior vena cava when the client lies flat, reducing venous return and causing supine hypotensive syndrome, which often presents as nausea. Turning the client to her side relieves pressure and restores circulation.
C. Ask the client to increase her daily calcium intake: Calcium is important during pregnancy, especially for bone health, but increasing intake is not an acute intervention for nausea caused by positional blood flow issues.
D. Use Leopold maneuvers to determine the fetal position: Leopold maneuvers assess fetal position but do not address the client’s immediate symptom of nausea, which may indicate compromised circulation from lying supine. Position change is the priority action.

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Correct Answer is D

Explanation

A. NPH insulin: This is an intermediate-acting insulin with a delayed onset and is not appropriate for continuous infusion. It is not used in the acute management of diabetic ketoacidosis (DKA).
B. 0.45% saline: Hypotonic saline may be used later in DKA management, but initial fluid resuscitation requires isotonic fluids to restore intravascular volume and improve perfusion.
C. Glargine insulin: This is a long-acting insulin used for basal control and is not suitable for continuous infusion. It lacks the rapid onset and titratability needed in acute DKA treatment.
D. Normal saline: Isotonic 0.9% saline is the fluid of choice for initial resuscitation in DKA to treat dehydration, improve perfusion, and stabilize blood pressure before initiating insulin therapy.

A. “Use an indoor tanning bed instead of outside.” B. “Plan to spend time tanning between 10 am and 2 pm.” C. “Apply sunscreen before and after swimming.” D. “Use sunblock with an SPF of 10 when I am outdoors.”

Correct Answer is C

Explanation

A. “Use an indoor tanning bed instead of outside.”: Indoor tanning exposes the skin to concentrated ultraviolet radiation, which significantly increases the risk of developing skin cancer, including melanoma. It is not a safe alternative to outdoor sun exposure.
B. “Plan to spend time tanning between 10 am and 2 pm.”: This time frame represents peak UV radiation hours, and sun exposure should be minimized during this period to reduce the risk of skin damage and cancer.
C. “Apply sunscreen before and after swimming.”: Sunscreen should be applied 15–30 minutes before sun exposure and reapplied after swimming or sweating. Water can wash off sunblock, so reapplication helps maintain effective protection against UV rays.
D. “Use sunblock with an SPF of 10 when I am outdoors.”: An SPF of 10 provides minimal protection and is inadequate for preventing skin damage. A minimum SPF of 30 is recommended for effective protection against both UVA and UVB radiation.

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A nurse is measuring the fundal height of a client who is at 36 weeks of gestation. The client suddenly reports nausea. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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