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A loading dose of terbutaline (Brethine) 250 mcg IV is prescribed for a client in preterm labor. Brethine 20 mg is added to 1,000 mL of D5W. How many milliliters of the solution should the nurse administer?
- A. 45
- B. 15 mL
- C. 4
- D. 13
Correct Answer: D
Rationale: To calculate the amount of terbutaline to administer, first convert the dose to the same unit. 250 mcg = 0.25 mg. Next, set up a proportion: 20 mg is to 1000 mL as 0.25 mg is to X mL. Cross multiply and solve for X: 20 X = 0.25 1000. X = (0.25 1000) / 20 = 12.5 mL. Therefore, the nurse should administer 13 mL of the solution.
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- B. Discontinue the methadone right away.
- C. Start prenatal care as soon as possible.
- D. Describe genetic testing protocol.
Correct Answer: C
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A newborn with a yellow abdomen and chest is being assessed. What should the nurse do?
- A. Assess bilirubin level.
- B. Administer phototherapy.
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- D. Perform a bilirubin test every hour.
Correct Answer: A
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- A. Inform her that a decreased need for insulin occurs while breastfeeding.
- B. Counsel her to increase her caloric intake.
- C. Advise the client to breastfeed more frequently.
- D. Schedule an appointment for the client with the diabetic nurse educator.
Correct Answer: A
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Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action should the healthcare provider take?
- A. Notify the healthcare provider or anesthesiologist immediately.
- B. Continue to assess the blood pressure every 5 minutes.
- C. Place the woman in a lateral position.
- D. Turn off the continuous epidural.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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- A. Ask the mother to stop feeding, comfort the infant, and then assist the mother to help the baby latch on.
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- C. Try a different breastfeeding position.
- D. Have another person help the mother with breastfeeding.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.