• The nurse is planning care for a client at 30-weeks gestation who is experiencing preterm labor.
• Terbutaline (Brethine) 0.25 mg subcutaneously
... [Show More] q15 minutes x 3
• Ampicillin 1 gram IV push q8h.
• Betamethasone (Celestone) 12 mg deep IM
• Butorphanol (Stadol) 1 mg IV push q2h PRN pain
2. A pregnant woman in the first trimester of pregnancy has hemoglobin of 8.6 mg/dl and a hematocrit of 25.1 %. What food should the nurse encourage this client to include in her diet?
• Carrots
• Chicken
• Yogurt
• Cheese
3. The nurse is preparing to administer methylergonovine maleate (Methergine) to a postpartum client. Based on what assessment finding should the nurse withhold the drug?
• Respiratory rate of 22 breaths/min
• A large amount of lochia rubra
• Blood pressure 149/90
• Positive Homan’s sign
4. The nurse is planning care for a 16-year-old, who has juvenile rheumatoid arthritis (JRA). The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement?
• Begin a training program lifting weights and running
• Splint affected joints during activity
• Exercise in a swimming pool
• Perform passive range of motion exercises twice daily
5. A client receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important for the nurse to obtain each time the infusion rate is increased?
• Pain level
• Blood pressure
• Infusion site
• Contraction pattern
6. One day after vaginal delivery of a full term baby, a postpartum client’s white blood cell
count is 15.000/mm. What action should the nurse take first?
• Check the differential, since the WBC is normal for this client
• Assess the client’s temperature, pulse, and respirations q4h
• Assess the client’s perineal area for signs of a perineal hematoma
• Notify the healthcare provider, since this finding is indicative of infection
7. A neonate who has congenital adrenal hypoplasia (CAH) presents with ambiguous genitalia. What is the primary nursing consideration when supporting the parents of a child with this anomaly? [Show Less]