A nurse is teaching a client who is experiencing infertility about clomiphene citrate. Which adverse effects should the nurse include?

Chills

Breast tenderness

Tinnitus

Urinary frequency

Answer and Explanation

The Correct Answer is B

Choice A rationale
Chills are not a common side effect of clomiphene citrate.
Choice B rationale
Breast tenderness is a common side effect of clomiphene citrate. This is due to the hormonal changes induced by the medication.
Choice C rationale
Tinnitus, or ringing in the ears, is not a common side effect of clomiphene citrate.
Choice D rationale
Urinary frequency is not a common side effect of clomiphene citrate.

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Correct Answer is C

Explanation

Choice A rationale
Polyuria, or excessive urination, is not typically associated with the administration of an epidural block with an opioid analgesic.
Choice B rationale
Bilateral crackles in the lungs can be a sign of a respiratory condition such as pneumonia or heart failure. However, they are not a common side effect of an epidural block with an opioid analgesic.
Choice C rationale
Hypotension, or low blood pressure, is a known side effect of epidural analgesia. This is due to the blockade of the sympathetic chain, which can contribute to hypotension. Therefore, it is important for the nurse to monitor the client’s blood pressure during the administration of an epidural block with an opioid analgesic.
Choice D rationale
Hyperglycemia, or high blood sugar, is not typically a side effect of an epidural block with an opioid analgesic. Hyperglycemia is more commonly associated with conditions such as diabetes.

A. “Vaginal bleeding.”. B. “Fetal heart rate of 174 bpm.”. C. “Fundal height of 33 cm.”. D. “Abdomen soft on palpation and without tenderness.”.

Correct Answer is A

Explanation

Choice A rationale
Placenta previa is a condition where the placenta partially or completely covers the cervix. Vaginal bleeding, often without pain, is a key symptom and requires immediate medical attention.
Choice B rationale
While a fetal heart rate of 174 bpm is slightly above the normal range (110-160 bpm), it is not the most critical finding in a patient with complete placenta previa.
Choice C rationale
A fundal height of 33 cm at 32 weeks of gestation is within the expected range and does not require immediate follow-up.
Choice D rationale
An abdomen that is soft and non-tender is a normal finding and does not require immediate follow-up.

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A nurse is teaching a client who is experiencing infertility about clomiphene citrate. Which adverse effects should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a client who is receiving an epidural block with an opioid analgesic. Which of the following findings should the nurse monitor as a potential adverse effect of the medication?

Correct Answer is C

Explanation

“A nurse is caring for a patient who is at 32 weeks of gestation and has complete placenta previa. Which of the following assessment findings requires immediate follow-up?”

Correct Answer is A

Explanation

A nurse is preparing to obtain a blood sample from a newborn’s heel. In what order should the nurse perform the procedure?

A nurse is caring for a client who is hypotensive following the administration of epidural anesthesia. Which action should the nurse take?

A nurse is assessing a newborn who was born postterm. Which of the following findings should the nurse expect?

A nurse is assessing a postpartum client during a follow-up visit. What was the client’s score on the Edinburgh Postnatal Depression Screen?

A nurse is providing teaching to the guardians of a preterm newborn about temperature instability. Which of the following statements should the nurse make?

A nurse is teaching about car seat safety to the parents of a newborn who was delivered at 38 weeks of gestation. Which statement by a parent indicates an understanding of the teaching?

A nurse is caring for a client who is 48 hr postpartum and has a deep vein thrombosis. How should the nurse interpret the findings 24 hr later?

A nurse is calculating the estimated date of delivery for a client who reports that the first day of her last menstrual period was August 10. Using Nägele’s Rule, which of the following is the client’s estimated date of delivery?