Nokea
A multigravid client is admitted to the hospital with a diagnosis of ectopic pregnancy. The nurse anticipates that, because the client's fallopian tube has not yet ruptured, which of the following may be ordered?
- A. Progestin contraceptives(Hylutin).
- B. Medroxyprogesterone(Depo-Provera).
- C. Methotrexate.
- D. Dyphylline(Dilor).
Correct Answer: C
Rationale: Methotrexate is used to treat unruptured ectopic pregnancies.
You may also like to solve these questions
A nurse is teaching a client about the use of oral contraceptives. Which of the following instructions should the nurse include?
- A. Take the pill at the same time daily.
- B. Skip pills during menstruation.
- C. Take two pills daily for maximum effectiveness.
- D. Stop taking the pill if you miss one dose.
Correct Answer: A
Rationale: Oral contraceptives should be taken at the same time daily for maximum effectiveness. They are taken continuously (including during menstruation for combination pills), one pill daily, and missing a dose requires specific instructions, not stopping entirely.
A primigravid client with class II heart disease who is visiting the clinic at 8 weeks' gestation tells the nurse that she has been maintaining a low-sodium, 1,800-calorie diet. Which of the following instructions should the nurse give the client?
- A. Avoid folic acid supplements to prevent megaloblastic anemia.
- B. Severely restrict sodium intake throughout the pregnancy.
- C. Take iron supplements with milk to enhance absorption.
- D. Increase caloric intake to 2,200 calories daily to promote fetal growth.
Correct Answer: D
Rationale: Increased caloric intake supports fetal growth without compromising maternal health.
A client is considering permanent contraception. Which of the following statements by the nurse is accurate?
- A. Tubal ligation and vasectomy are considered reversible procedures.
- B. Both tubal ligation and vasectomy require a follow-up to confirm effectiveness.
- C. Tubal ligation affects hormone production.
- D. Vasectomy increases the risk of prostate cancer.
Correct Answer: B
Rationale: Both tubal ligation and vasectomy require follow-up to confirm effectiveness (e.g., sperm count for vasectomy, imaging for tubal ligation). Reversal is not guaranteed, tubal ligation does not affect hormones, and vasectomy is not linked to prostate cancer.
A nurse is teaching a client about the use of condoms for contraception. Which of the following statements by the client indicates understanding of the teaching?
- A. Condoms must be stored in a hot, humid environment.
- B. Condoms can be reused if washed thoroughly.
- C. Condoms provide some protection against STIs.
- D. Condoms are 100% effective in preventing pregnancy.
Correct Answer: C
Rationale: Condoms provide some protection against sexually transmitted infections, which is a key benefit. They should be stored in a cool, dry place, cannot be reused, and are not 100% effective in preventing pregnancy.
During the first hour after delivery, assessment of a multiparous client who delivered a neonate weighing 4,593 g (10 lb, 2 oz) by cesarean delivery reveals a soft fundus with excessive lochia rubra. The nurse should include which of the following in the client's plan of care?
- A. Administration of intravenous oxytocin.
- B. Placement of the client in a side-lying position.
- C. Rigorous fundal massage every 5 minutes.
- D. Preparation for an emergency hysteromyomectomy.
Correct Answer: A
Rationale: A soft fundus and excessive lochia suggest uterine atony, which is treated with oxytocin to promote uterine contraction.