1. A nurse is caring for a client who is at 33 weeks gestation following an amniocentesis. The nurse should monitor the client for which of the following c... [Show More] omplications?
a. contractions
b. Hypertention
c. Epigastric pain
d. vomiting
2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep.
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
Answer: a. Contraction
Rational: Amniocentesis
-Can't be done before 16 weeks, not enough amniotic fluid.
-maternal risks: hemorrhage, feto maternal hemorrhage, infection, contractions/labor,
abruptio placentae, damage to intestines or bladder, amniotic fluid embolism
-fetal risks: death, hemorrhage, infection, direct injury from the needle, miscarriage, and
preterm, leakage of amniotic fluid
2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?
a. Stay in bed at least 1 hr if unable to fall asleep.
b. Take a 1 hr nap during the day
c. Perform exercises prior to bedtime
d. Eat a light snack before bedtime
Defibrillate
Rational:
Answer:D. Eat a light snack before bedtime Rational:
Consume a light snack of carbohydrates at bedtime
The nurse needs to assess the client to determine stability before
proceeding with further interventions. If the client has a pulse and is relatively stable, elective cardioversion or antidysrhythmic medications may be
3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse first take determining the client does not have a palpable pulse?
a. Assess heart sounds
b. Defibrillate
c. Establish IV access
d. Administer Epinephrine
Answer:B.
prescribed. The drug of choice for stable ventricular
tachycardia with a pulse is amiodarone. If the client is pulseless or nonresponsive, the client is unstable and defibrillation is used
4. A nurse is admitting a client who is one week postpartum and reports excessive
vaginal bleeding. The nurse does not speak the same language as the client the client’s
partner and 10-year-old child are accompanying her. Which of the following actions
should the nurse take to gather the client’s admission data?
a. Have the client’s child translate
b. Allow the client’s partner to translate
c. Request a female interpreter through the facility
d. Ask a nursing student who speaks the same language as the client to translate
Answer: C. Request a female interpreter through the facility
Rational: We been told not to use family members if not facility interpreters
5. A nurse is caring for a client who is febrile(fever). To reduce the client’s fever, the
nurse applies cooling. Which of the following indicates the client is having an adverse
reaction to the cooling?
a. Flushing
b. Tachycardia
c. Restlessness
d. Shivering [Show Less]
