1. A 41-week gestation primigravida woman is admitted to labor and…
Question Answered step-by-step 1. A 41-week gestation primigravida woman is admitted to labor and… 1. A 41-week gestation primigravida woman is admitted to labor and delivery for induction of labor. Which finding should the nurse report to the healthcare provider before initiating the infusion of oxytocin?a. Fetal heart tones located in upper right quadrantb. Biophysical profile results showing oligohydramniosc. Regular contractions occurring every 10 minutesd. Sterile vaginal exam reveling 3 cm dilatation 2. A client with syndrome of inappropriate antidiuretic hormone secretion (SIDH) is admitted with hyponatremia. Which intervention is most important for the nurse to include in the plan of care to protect the client from injury? a. Initiate seizure precautions. b. Assess neurological status every 8 hours. c. Limit oral water intake. d. Administer a hypertonic IV fluids as prescribed. 3. Following a total knee replacement, a client is discharged from the hospital with a prescription for warfarin. In reviewing discharge teaching, the client tells the nurse that he will avoid eating foods high in potassium, such as bananas and melon. How should the nurse respond? A. Discuss necessary fluid restrictions as well as food restrictionsB Explain that no dietary restrictions are needed with warfarinC. Review teaching about the effects of foods rich in Vitamin KD. Provide a written list of additional foods high in potassium 4. A 62-year-old male client tells the nurse that he has a high-density lipoprotein (HDL) level of 85 mg/dl (2.2 mmol/L SI). Which action should the nurse take?A. Encourage the client to reduce consumption of atty foodsB. Ask the client about hereditary cardiac risk factorsC. Confirm that this value is helpful in reducing cardiac riskD. Explain that the client may need medication therapy 5. When conducting diet teaching for a client who was diagnosed with a myocardial infarction, which snack foods should the nurse encourage the client to eat? (Select all that apply.)a) Soda crackers and peanut butterb) Fresh turkey slices and berriesc) Chicken bouillon soup and toastd) Fresh vegetables with mayonnaise dipe) Raw unsalted almonds and apples 6. A male client who is experiencing musculoskeletal pain is discharged with instructions to take Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID) by mouth BID. After receiving discharge teaching, the client states he plans to take the medication twice daily, with breakfast and dinner. How should respond? A. Review the need to limit intake of leafy, green vegetables such as spinachB. Confirm that the client has an effective plan for when to take the medicationC. Explain the need to take the medication before meals to increase absorptionD. remind the client to increase fluid intake while taking the medication 7. A client at 28-weeks gestation is admitted to the obstetrical unit following her involvement in a motor vehicle collision. After stabilizing the client, the nurse obtains a fetal monitor reading. What action should the nurse take if fetal tachycardia is assessed on the monitor? A. Recount the heart rate manually to confirm a monitor malfunctionB. Contact the healthcare provider after initiating oxygen per face maskC. Explain that there is no indication the fetal heart rate is due to traumaD. Evaluate the presence of preterm labor by performing a vaginal examination 8. A client with chronic kidney disease (CKD) is discharged with a prescription for epoetin alfa subcutaneously. In teaching the client about the medication, the nurse should emphasize the benefit of increasing which food product in the diet?A. Iron-rich foodsB. High-fiber foodsC. Citrus fruits and juicesD. Dairy products 9. A 41-week gestation primigravida woman is admitted to labor and delivery for induction of labor. Which finding should the nurse report to the healthcare provider before initiating the infusion of oxytocin?a. Fetal heart tones located in upper right quadrantb. Biophysical profile results showing oligohydramniosc. Regular contractions occurring every 10 minutesd. Sterile vaginal exam reveling 3 cm dilatation 10. An adult client is admitted to the psychiatric unit with a diagnosis of major depression. After two weeks of antidepressant medication therapy, the nurse notices the client has more energy, is giving personal belongings away to visitors, and is a better mood. Which intervention is best for the nurse to implement? A. Tell the client to keep one’s belongings because they will needed at dischargeB. Support the client by validating the progress hat has been madeC. Reassure the client that the antidepressant drugs are apparently effectiveD. Ask the client if there are any recent thoughts of harming 11. The nurse observes a client prepare meal in the kitchen of a rehabilitation facility prior to discharge. Which behaviors indicate the client understands how to maintain balance safety? (Select all that apply)A. Leans forward to pull a pan from a high shelf. B. bends from the waist to pick trach off the floor. C. Locks knees while preparing food on the counter.D. Brings a heavy can close to body before liftingE. Widens stance while working near the sink. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
