A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching?

Place the shoulder harness across the gravid uterus.

Move the seat as far away as possible from the steering wheel.

Wear the lap belt high across the abdomen.

Disable the vehicle's driver-side airbags.

Answer and Explanation

The Correct Answer is B

A. The shoulder harness should be placed between the breasts and off to the side of the gravid uterus, not directly across it. This helps reduce the risk of injury in the event of a crash.

B. Moving the seat as far away as possible from the steering wheel reduces the risk of injury from the steering wheel or airbag impact while still allowing the client to drive safely.

C. The lap belt should be worn low across the hips and under the abdomen, not high across the abdomen, to protect the growing fetus and prevent harm during sudden deceleration.

D. Airbags should not be disabled as they provide essential protection during a crash. Proper seatbelt use and correct seating position allow airbags to function effectively without posing a risk to the pregnant client.

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Correct Answer is C

Explanation

A. Expecting docusate sodium to produce a semi-fluid stool within 6 to 12 hours is incorrect. Docusate sodium is a stool softener that usually works within 1 to 3 days, not as quickly as 6 to 12 hours.
B. Decreasing the intake of high-fiber foods while taking docusate sodium is not advised. In fact, maintaining a high-fiber diet is essential for managing constipation effectively.
C. Taking docusate sodium with a full 8-ounce glass of water is correct. Adequate fluid intake is necessary to help the stool soften and facilitate bowel movements when using this medication.
D. Avoiding citrus fruits while taking docusate sodium is not necessary. Citrus fruits can be beneficial as part of a high-fiber diet to help alleviate constipation.

A. Positive Homans' sign B. Full, firm breasts C. Firm fundus at midline D. Lochia serosa

Correct Answer is C

Explanation

A. Homans' sign is a test for deep vein thrombosis and is not a normal postpartum finding.
B. Full, firm breasts typically occur a few days after delivery when milk production begins, not at 20 hours postpartum.
C. A firm fundus at the midline is an expected finding in the immediate postpartum period, indicating that the uterus is contracting and involuting properly.
D. Lochia serosa (pinkish-brown discharge) is a normal finding around 3 to 10 days postpartum, but it is not typically present at 20 hours postpartum.

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A nurse is reinforcing teaching about safety precautions to take when driving a car with a client who is in the first trimester of pregnancy. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 20 weeks of gestation and has a new prescription for docusate sodium to treat constipation. Which of the following statements should the nurse make?

Correct Answer is C

Explanation

A nurse is collecting data from a client who is 20 hr postpartum following a vaginal delivery. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

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