A 2-week-old neonate is admitted to the hospital with a diagnosis of possible sepsis. The neonate weighs 3.2 kg, The health care provider prescribes the following orders for the neonate and signs the order sheet. Which order would the nurse question? Progress Notes: 12/01/22- 10am
- A. Acetaminophen (Tylenol) 10mg/kg per rectum every 4-6 hours prn for pain
- B. Ampicillin 200mg/kg IV every 6 hours in D5.45 NSSIV @ 125ml/hr.
- C. Mom may breastfeed ad lib
- D. Draw blood cultures x 3 in A.M.
Correct Answer: B
Rationale: Ampicillin dosage exceeds recommended levels for neonates.
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What should the nurse advise the client regarding Depo-Provera (medroxyprogesterone acetate)?
- A. Take the pill at the same time each day.
- B. Refrain from breastfeeding while using the method.
- C. Expect to have no periods as long as she takes the medicine.
- D. Consider switching to another birth control method in a year or so.
Correct Answer: B
Rationale: Depo-Provera can reduce milk supply and thus breastfeeding should be avoided.
Which factor is a major barrier to health care for adolescent mothers?
- A. Health care workers have a positive attitude.
- B. The hospital or clinic is within walking distance of the girl's home.
- C. Seeing a different nurse aNnd/Ror hIealtGh caBre. pCrovMider at every visit. U S N T O
- D. The institution is open days, evenings, and Saturday by special arrangement.
Correct Answer: C
Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.
What serum laboratory reports would the nurse expect in a bulimic client?
- A. Potassium 3.0 mEq/L.
- B. Bicarbonate 30 mmol/L.
- C. Platelet count 450,000 cells/mm3.
- D. Hemoglobin A1C 9%.
Correct Answer: A
Rationale: Low potassium levels result from vomiting and purging.
The nurse is educating a client with gestational diabetes about blood sugar monitoring. What statement indicates understanding?
- A. I will check my blood sugar once a week.
- B. I should avoid all carbohydrates.
- C. I will monitor my blood sugar four times a day as prescribed.
- D. I can skip insulin on days I feel well.
Correct Answer: C
Rationale: Frequent monitoring of blood sugar is essential for managing gestational diabetes effectively.
What is the recommended daily calcium intake for persons AFAB aged 51 and above?
- A. 500 mg per day
- B. 800 mg per day
- C. 1,000 mg per day
- D. 1,200 mg per day
Correct Answer: D
Rationale: