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 A

Explanation

A. Bronchodilators, such as short-acting beta-agonists (e.g., albuterol), are the first-line medications for relieving acute bronchoconstriction and severe wheezing in asthma exacerbations.
B. Beta blockers are contraindicated in asthma as they can exacerbate bronchoconstriction and worsen symptoms.
C. Inhaled steroids are used for long-term control of asthma symptoms and prevention of exacerbations but are not typically used as first-line treatment for acute severe wheezing.
D. Anti-inflammatory agents such as corticosteroids are also used for long-term control of asthma and reducing airway inflammation but are not the first choice for immediate relief of severe wheezing.

A. Contact the provider to prescribe more pain medication for the client. B. Teach the client relaxation techniques for treatment of acute pain. C. Document the client's reaction to the administration of medication. D. Reevaluate the client's response to the medication in 30 min.

Correct Answer is D

Explanation

A. Contacting the provider to prescribe more pain medication may be necessary if the client's pain is not adequately controlled; however, reevaluation of the client's response to the initial dose should be done first.
B. Teaching relaxation techniques for acute pain management may be helpful, but it is not the priority at this moment when the client's pain is not adequately controlled.
C. Documenting the client's reaction to the medication is important but should not delay immediate action to address the client's unrelieved pain.
D. Reevaluating the client's response to the medication is the priority to determine if additional interventions are needed to manage the client's pain effectively.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is postoperative and received hydromorphone 4 mg PO 15 min ago. The client tells the nurse, "My pain level is still 8 on a 0 to 10 scale." Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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