556.A client is receiving oxytocin (Pitocin) to augment early labor. Which assessment is most important time the infusion rate is increases?
Question Answered step-by-step 556.A client is receiving oxytocin (Pitocin) to augment early labor.Which assessment is most important time the infusion rate is increases?• Contraction pattern• Blood pressure• Infusion site• Pain level570. A primigravida client is 36 weeks gestation is admitted to labor and delivery unit because her membranes ruptured 30minutes ago. Initial assessment indicates 2cm dilation, 50% effaced, -2 station, vertex presentation greenish colored amniotic fluid, and contractions occurring 3-5 minutes with a low FHR after the last contraction peaks: • Administer Oxygen via face mask• Apply an internal fetal heart monitor• Notify the healthcare provider• Use a vibroacoustic stimulator583. When gathering for a group therapy session at 1400 hours, a female client complains to the nurse that a smoking break has not been allowed all day. The nurse responds that 15-minute breaks were called over the unit intercom after breakfast and after lunch. The nurse is using what communication technique in responding to the client?• Doubt• Observation• Confrontation• Reflection584. A female client with rheumatoid arthritis (RA) comes to the clinic complaining of joint pain and swelling. The client has been taking prednisone (Deltasone) and ibuprofen (Motrin Extra Strength) every day. To assist the client with self-management of her pain, which information should the nurse obtain?• Presence of bruising, weakness, or fatigue• Therapeutic exercise included in daily routine.• Average amount of protein eaten daily• Existence of gastrointestinal discomfort585. The charge nurse of the Intensive Care Unit is making assignments for the permanent staff and one RN who was floated from a medical unit. The client with which condition is the best to assign to the float nurse?• Diabetic ketoacidosis and titrated IV insulin infusion• Emphysema extubated 3 hours ago receiving heated mist• Subdural hematoma with an intracranial monitoring device• Acute coronary syndrome treated with vasopressors586. A client admitted to the emergency center had inspiratory and expiratory wheezing, nasal flaring, and thick, tenacious sputum secretions observed during the physical examination. Based on these assessment findings, what classification of pharmacologic agents should the nurse anticipate administering?• Beta blockers• Bronchodilators• Corticosteroids• Beta-adrenergics587. The home health nurse is assessing a male client who has started peritoneal dialysis (PD) 5 days ago. Which assessment finding warrants immediate intervention by the nurse?• Finger stick blood glucose 120 mg/dL post exchange• Arteriovenous (AV) graft surgical site pulsations.• Anorexia and poor intake of adequate dietary protein• Cloudy dialysate output and rebound abdominal pain588. A client’s telemetry monitor indicates ventricular fibrillation (VF). What should the nurse do first?• Administer epinephrine IV• Give an IV bolus of amiodarone• Provide immediate defibrillation• Prepare for synchronized cardioversion600. A 35 years old female client has just been admitted to the post anesthesia recovery unit following a partial thyroidectomy. Which statement reflects the nurse’s accurate understanding of the expected outcome for the client following this surgery?• Supplemental hormonal therapy will probably be unnecessary • The thyroid will regenerate to a normal size within a few years. • The client will be restricted from eating seafood • The remainder of the thyroid will be removed at a later date.613. A male client recently released from a correctional facility arrives at the clinic with a cough, fever, and chills. His history reveals active tuberculosis (TB) 10 years ago. What action should the nurse implement? (Select all that apply)• Schedule the client for the chest radiograph• Obtain sputum for acid fast bacillus (AFB) testing• Place a mask on the client until he is moved to isolation.617. A nurse is caring for a client with Diabetes Insipidus. Which assessment finding warrants immediate intervention by the nurse?• Hypernatremia• Excessive thirst• Elevated heart rate• Poor skin turgor624. The husband of a client with advanced ovarian cancer wants his wife to have every treatment available. When the husband leaves, the client tells the nurse that she has had enough chemotherapy and wants to stop all treatments but knows her husband will sign the consent form for more treatment. The nurse’s response should include which information?• The husband cannot sign the consent for the client, her signature is required• The client’s specific wishes should be discussed with her healthcare provider• The healthcare team will formulate a plan of care to keep the client comfortable635. An adult female client is admitted to the psychiatric unit because of a complex handwashing ritual she performs daily that takes two hours or longer to complete. She worries about staying clean and refuses to sit on any of the chairs in the day area. This client’s handwashing is an example of which clinical behavior?• Addiction• Phobia• Compulsion• Obsession694. When assessing a multigravida, the first postpartum day, the nurse finds a moderate amount of lochia rubra, with the uterus firm, and three fingerbreadths above the umbilicus. What action should the nurse implement first?• Massage the uterus to decrease atony• Review the hemoglobin to determine hemorrhage• Increase intravenous infusion• Check for a distended bladder697. A 59-year-old male client comes to the clinic and reports his concern over a lump that, “just popped up on my neck about a week ago.” In performing an examination of the lump, the nurse palpates a large, nontender, hardened left subclavian lymph node. There is not overlying tissue inflammation. What do these findings suggest?• Malignancy• Bacterial infection • Viral infection• Lymphangitis Health Science Science Nursing RNSG 1111 Share QuestionEmailCopy link Comments (0)
