Exhibits
The nurse should notify the provider about the
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
- Fetal heart rate: The FHR is elevated at 165–168/min with minimal variability, which may indicate fetal tachycardia and potential distress. Persistent tachycardia requires evaluation for infection, hypoxia, or maternal fever. Early intervention helps prevent complications.
- Characteristics of the amniotic fluid: The fluid is greenish, suggesting meconium-stained amniotic fluid, which can signal fetal hypoxia or distress. Meconium increases the risk of meconium aspiration syndrome in the newborn. Providers must be alerted for appropriate preparations at delivery.
Rationale for Incorrect Options:
- Client's blood pressure: The BP is 128/84 mm Hg, which is within normal limits, especially considering her history of chronic hypertension. There are no signs of preeclampsia or hypertensive crisis at this time.
- Duration of contraction: Contractions lasting 40–60 seconds are expected during active labor. There is no evidence of uterine tachysystole or abnormal contraction pattern requiring provider notification.
- Maternal pain: The client reports pain as 5/10 and is breathing well through contractions. This pain level is tolerable and expected in labor, so it doesn’t warrant immediate provider notification.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Varicella:Varicella (chickenpox) requires airborne and contact precautions due to its high transmissibility via respiratory droplets and contact with skin lesions. While contact precautions are used, the primary precaution is airborne.
B. Pertussis:Pertussis is transmitted through respiratory droplets, so droplet precautions are the appropriate measure. Contact precautions are not necessary unless there are heavy respiratory secretions contaminating surfaces.
C. Clostridium difficile:Contact precautions are essential for clients with C. difficile due to the spore-forming nature of the bacteria, which can survive on surfaces. Gown and gloves are required when entering the room, and hand hygiene with soap and water is necessary after contact.
D. Mycobacterium tuberculosis:TB is transmitted via airborne particles, requiring airborne precautions and a negative pressure room. Contact precautions are not indicated for TB unless there are additional infections with contact-spread pathogens.
Correct Answer is A
Explanation
A. "I will avoid crushing this medication." Metformin extended-release tablets should be swallowed whole to maintain the time-release mechanism. Crushing or chewing the tablet can lead to rapid drug release, increasing the risk of adverse effects like gastrointestinal distress or lactic acidosis.
B. "I will take the medication in the morning." While many clients take metformin in the morning, the key instruction is to take it with food to reduce gastrointestinal side effects. Timing can vary depending on the dosing schedule prescribed by the provider.
C. "I will take the medication on an empty stomach." Taking metformin on an empty stomach increases the likelihood of nausea, abdominal pain, and diarrhea. It should always be taken with meals to enhance tolerance and absorption.
D. "I will expect to gain weight." Metformin is weight-neutral or may even contribute to mild weight loss. It is often preferred for overweight clients with type 2 diabetes due to its favorable metabolic profile.
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