When assessing the heart, the nurse inspects and palpitates which of the following?

Peritoneum and tricuspid area

Precordium and PMI

Precordium and apical heart rate

Peritoneum and left sternal border.

Answer and Explanation

The Correct Answer is B

When assessing the heart, the nurse will inspect and palpate the precordium, which is the area of the chest overlying the heart, and the PMI (point of maximal impulse), which is the point on the chest where the heartbeat is the strongest. These assessments allow the nurse to gather information about the size, shape, and location of the heart and to detect any abnormalities in the heartbeat or rhythm. The peritoneum is a membrane lining the abdominal cavity and has no relevance in the assessment of the heart. The tricuspid area and left sternal border are areas of the chest that may be auscultated to assess heart sounds but are not palpated during a heart assessment.

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Correct Answer is A

Explanation

This is the medication that the nurse should expect to administer to the client who is receiving treatment for gestational diabetes mellitus. Gestational diabetes mellitus (GDM) is a condition that occurs when a pregnant woman has high blood sugar levels that are not controlled by diet and exercise alone. GDM can cause complications for the mother and the baby, such as preeclampsia, macrosomia, hypoglycemia, and birth trauma¹. The primary treatments for GDM are diet and increased exercise. However, some women may need medication to lower their blood sugar levels.

The most common medication used for GDM is insulin, which is a hormone that helps the body use glucose for energy. Insulin can be given by injection or by an insulin pump¹. However, some women may prefer oral medications over insulin injections. One of the oral medications that can be used for GDM is glyburide, which is a sulfonylurea drug that stimulates the pancreas to produce more insulin. Glyburide can lower blood sugar levels and reduce the need for insulin in some women with GDM²³. Glyburide is generally safe and eﬀective for GDM, but it may cause side eﬀects such as hypoglycemia, weight gain, nausea, and allergic reactions²⁴.

The other options are not correct because they are not medications used for gestational diabetes mellitus.

b) Levothyroxine
Levothyroxine is a synthetic form of thyroxine, which is a hormone produced by the thyroid gland. Levothyroxine is used to treat hypothyroidism, which is a condition that occurs when the thyroid gland does not produce enough thyroid hormones. Hypothyroidism can cause symptoms such as fatigue, weight gain,cold intolerance, and depression. Levothyroxine is not used to treat gestational diabetes mellitus.
c) Nifedipine
Nifedipine is a calcium channel blocker that relaxes the blood vessels and lowers blood pressure. Nifedipine is used to treat hypertension, angina, and preterm labor. Hypertension is a condition that occurs when the blood pressure is too high. Angina is a type of chest pain that occurs when the heart does not get enough oxygen. Preterm labor is a condition that occurs when the uterus contracts and dilates before 37 weeks of pregnancy. Nifedipine is not used to treat gestational diabetes mellitus.
d) Chlorpromazine
Chlorpromazine is an antipsychotic drug that blocks dopamine receptors in the brain. Chlorpromazine is used to treat schizophrenia, bipolar disorder, and nausea and vomiting. Schizophrenia is a mental disorder that causes distorted thoughts, hallucinations, and delusions. Bipolar disorder is a mental disorder that causes mood swings between mania and depression. Nausea and vomiting are symptoms that can be caused by various conditions or treatments. Chlorpromazine is not used to treat gestational diabetes mellitus.

A. Pain is an unpleasant sensation, typically experienced upon movement. B. Pain is validated by the nurse determining the cause of pain. C. Pain is whatever the person experiencing it says it is. D. Pain is very subjective, so observations must be used to determine the levels and intensity.

Correct Answer is C

Explanation

"Pain is whatever the person experiencing it says it is," to include in the orientation. This definition reﬂects the concept of pain as a subjective experience that cannot be directly observed or measured, but only reported by the individual experiencing it. It emphasizes the importance of believing and acknowledging the patient's report of pain, and not relying solely on objective indicators or assumptions about the cause or intensity of pain. This definition also aligns with current standards of pain assessment and management, which prioritize patient-centered care and the use of self-report measures to guide treatment decisions.

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When assessing the heart, the nurse inspects and palpitates which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the medical record for a client who is receiving treatment for gestational diabetes mellitus. Which of the following medications should the nurse expect to administer?

Correct Answer is A

Explanation

The nurse is working at a pain clinic and is preparing orientation for new staﬀ nurses. Which of the following definitions of pain would the nurse correctly choose to include in the orientation?

Correct Answer is C

Explanation

The nurse would document which of the following as objective data obtained during a patient assessment?

A patient is admitted to the ﬂoor with a diagnosis of chest pain. Which of the following would be a priority for the assessment?

The nurse is assessing the 6 stages of cardinal gaze. This test assesses:

The nurse is checking for edema in the lower extremities of a patient with Congestive heart failure. The nurse will do which of the following when checking for edema. (Select all that apply)

When child, elder, or vulnerable adult abuse or neglect is disclosed, nurses:

When assessing the breast, the nurse would teach the patient to palpate which of the following areas?

The nurse is mapping the client’s abdomen into four quadrants. Which landmarks should the nurse use to perform this assessment? (Select all that apply)