The healthcare provider gives a pregnant woman a prescription for one prenatal vitamin with iron daily and tells her to increase iron-rich foods in her diet because her hemoglobin is 8.2 g/dL or (5.09 mmol/L).

When a list of iron-rich foods is given to the client, she tells the practical nurse (PN) that she is vegetarian and does not eat anything that "bleeds." Which instruction should the PN provide? (Select all that apply.)

Add lentils and black beans to soups

Eat red meat just until the anemia is resolved

Take two prenatal vitamins with iron daily

Oatmeal is a good choice for breakfast

Increase green leafy vegetables in the diet

Answer and Explanation

Correct Answer : A,D,E

Since the pregnant woman is vegetarian and does not eat meat, the practical nurse (PN) should provide alternative sources of iron-rich foods. Lentils and black beans are excellent vegetarian sources of iron and can be added to soups to increase iron intake (option a).

Oatmeal is a good choice for breakfast as it is often fortified with iron (option d). This can help supplement

iron intake in the diet.

Green leafy vegetables, such as spinach, kale, and broccoli, are also rich in iron and should be increased in the client's diet (option e).

Option b, which suggests eating red meat just until the anemia is resolved, is not appropriate for a vegetarian client.

Option c, taking two prenatal vitamins with iron daily, is not necessary unless specifically advised by the healthcare provider. It is important to follow the prescribed dosage of medication and supplements as directed by the healthcare provider.

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Correct Answer is D

Explanation

Choice A rationale:

Checking the client's temperature is important for assessing the client's condition, but it is not a priority before administering penicillin G IV for meningitis.

Choice B rationale:

Assessing the client's level of consciousness is essential for monitoring neurological status, but it is not the highest priority action before administering penicillin G IV for meningitis.

Choice C rationale:

Asking the client about any history of allergies is important for assessing potential allergic reactions to medications. However, the most critical action before administering penicillin G IV for meningitis is to obtain a blood sample for culture and sensitivity. This action helps identify the causative organism and guides appropriate antibiotic therapy, as meningitis can be life-threatening and requires prompt treatment.

Choice D rationale:

Obtaining a blood sample for culture and sensitivity is the highest priority action before administering penicillin G IV for meningitis. Identifying the specific pathogen responsible for the infection is crucial for selecting the most effective antibiotic therapy and preventing complications.

A. Protamine sulfate should be given slowly intravenously within 30 minutes of heparin administration. B. Protamine sulfate should be given rapidly intramuscularly within 60 minutes of heparin administration. C. Protamine sulfate should be given slowly intravenously within 60 minutes of heparin administration. D. Protamine sulfate should be given rapidly intramuscularly within 30 minutes of heparin administration.

Correct Answer is C

Explanation

Choice A rationale:

Administering protamine sulfate slowly intravenously within 30 minutes of heparin administration is not the recommended route and timing for reversing heparin's effects. Protamine sulfate is typically given slowly intravenously within 60 minutes of heparin administration.

Choice B rationale:

Administering protamine sulfate rapidly intramuscularly within 60 minutes of heparin administration is not the recommended route for this medication. Protamine sulfate should be given intravenously, not intramuscularly.

Choice C rationale:

Protamine sulfate should be given slowly intravenously within 60 minutes of heparin administration. This is the correct route and timing for reversing the anticoagulant effects of heparin.

Choice D rationale:

Administering protamine sulfate rapidly intramuscularly within 30 minutes of heparin administration is not the recommended route and timing for this medication. Intravenous administration is preferred for a more controlled and predictable reversal of heparin's effects.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has meningitis caused by Streptococcus pneumoniae.The provider orders penicillin G IV for this client.Before administering the medication, which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is administering protamine sulfate to a client who has received an overdose of heparin.What are some important nursing considerations for this medication? *.

Correct Answer is C

Explanation

On the first day after a cesarean section, a client who is a primipara is being assisted to the bathroom for the first time. The client experiences a sudden gush of vaginal blood and notices that several blood clots are in the toilet. Which action should the practical nurse (PN) take?

An unlicensed assistive personnel (UAP) reports that a client's right hand and fingers spasm when taking the blood pressure using the same arm.After confirming the presence of the spasms, which action should the nurse take?

The practical nurse (PN) observes an unlicensed assistive personnel (UAP) bathing a bedfast client with the bed in the high fowlers position. Which action should the PN take?

While changing a client's postoperative dressing, the nurse observes purulent drainage at the site.Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?

The nurse is assessing an adolescent female diagnosed with anorexia nervosa who is admitted to the unit with severe malnutrition and electrolyte imbalance.Which pathological process results from the adolescent's consistent maladaptive behavior?

Which is the best approach for the nurse to use when interviewing a client about intimate partner violence?

An older client with dementia who is refusing to allow an unlicensed assistive personnel (UAP) bathe her is becoming increasingly agitated and stating the UAP wants to hurt her and tie her up. Which approach should the nurse use with the client?

Which action should the practical nurse (PNA) prioritize for postoperative patient with a PCA (Patient- Controlled Analgesia) machine?