A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and has a prescription for a lecithin/sphingomyelin ratio. Which of the following statements should the nurse make?

"This test will detect possible birth defects."

"This test will reveal the sex of the fetus."

"This test will identify your risk for preterm labor."

"This test will determine fetal lung maturity."

Answer and Explanation

The Correct Answer is D

A.   The lecithin/sphingomyelin (L/S) ratio test is not used to detect birth defects. It specifically assesses fetal lung maturity by measuring the ratio of two phospholipids present in fetal lung surfactant.
B.   The L/S ratio test does not reveal the sex of the fetus. It is unrelated to fetal gender determination.

C.   While preterm labor risk can be assessed through other methods, such as cervical length

measurement or fetal fibronectin testing, the L/S ratio test is specifically focused on fetal lung maturity.
D. The L/S ratio test is primarily used to determine fetal lung maturity, as an increased ratio indicates lung maturity and readiness for extrauterine life.

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Correct Answer is E,D,C,B,A

Explanation

E: The first step is to turn off the IV infusion pump and clamp the IV tubing to prevent air from entering the line and to stop the flow of medication or fluids.

D: Next, allowing the preschooler to assist with removing the transparent dressing can help in reducing anxiety and providing a sense of control, which is important for a child's emotional well-being during medical procedures.

B: Applying firm pressure at the IV site after the catheter is removed helps to prevent bleeding and ensures the closure of the venipuncture site.

C: Removing the IV catheter while keeping the catheter hub parallel to the insertion site minimizes discomfort and the risk of damaging the vein.

A: Finally, inspecting the IV catheter tip after removal is essential to ensure that the entire catheter has been removed and that no part has been left in the vein.

A. The adolescent brother criticizes the parents' plan to have a funeral service. B. The school-age sister views death as being a type of temporary sleep. C. The adolescent brother fears the terminal illness is contagious. D. The school-age sister is concerned about the impact of her sibling's death on herself

Correct Answer is D

Explanation

A. The adolescent brother criticizing the parents' plan for a funeral service might indicate a coping mechanism or emotional response but is not a typical response.
B. The school-age sister viewing death as a type of temporary sleep demonstrates a common misconception about death in children but is not necessarily the most likely response from siblings.
C. The adolescent brother fearing the terminal illness is contagious might occur due to a lack of understanding or misinformation but is not a common response among siblings.
D. The school-age sister being concerned about the impact of her sibling's death on herself is a common response. Siblings often have concerns about their own feelings and the changes that will occur within the family dynamic after the loss of a sibling.

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A nurse is reinforcing teaching with a client who is at 35 weeks of gestation and has a prescription for a lecithin/sphingomyelin ratio. Which of the following statements should the nurse make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to remove a peripheral IV for a preschooler. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Correct Answer is E,D,C,B,A

Explanation

A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's siblings should the nurse expect?

Correct Answer is D

Explanation

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