Nokea
A nurse is reviewing the laboratory results for a client who is at 32 weeks of gestation. For which of the following results should the nurse notify the provider?
- A. Hgb 12 g/dL
- B. Platelet count 90,000/mm3
- C. Hematocrit 37%
- D. Creatinine 0.7 mg/dL
Correct Answer: B
Rationale: Low platelets (normal 150,000-400,000/mm³) may indicate a clotting issue.
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A nurse is caring for a newborn following a circumcision. Which of the following manifestations indicates the newborn is experiencing pain?
- A. Diaphoresis
- B. Hypoglycemia
- C. Lip smacking
- D. Transient strabismus
Correct Answer: A
Rationale: Diaphoresis is a physiological sign of pain in newborns.
A nurse is collecting a sputum specimen from a client for culture and sensitivity. Which of the following actions should the nurse take?
- A. Collect 2 mL of sputum in an emesis basin
- B. Instruct the client to rinse with an antiseptic mouthwash prior to specimen collection.
- C. Swab the oropharynx with a sterile swab
- D. Refrigerate the specimen until the time of transport to the laboratory
Correct Answer: D
Rationale: Refrigerating preserves the specimen's integrity for accurate testing.
A nurse is reinforcing teaching about a safety plan for a client who reports partner violence. Which of the following instructions should the nurse include?
- A. Call a shelter in another county.
- B. Leave your partner immediately.
- C. Keep a packed bag by your front door.
- D. Rehearse your escape route.
Correct Answer: D
Rationale: Rehearsing an escape route enhances safety planning.
A nurse is collecting data from a client who has asthma. Which of the following prescribed medications should the nurse administer first for severe wheezing?
- A. Bronchodilators
- B. Beta blocker
- C. Inhaled steroids
- D. Anti-inflammatory agent
Correct Answer: A
Rationale: Bronchodilators provide immediate relief for acute wheezing.
A nurse is reinforcing teaching with a client who is about to undergo an upper gastrointestinal series with fluoroscopy. Which of the following information should the nurse provide?
- A. You will receive an injection of contrast dye during the test
- B. Consume a clear liquid breakfast on the day of the procedure
- C. Someone should drive you home after the procedure
- D. You will have to drink a contrast medium before the test
Correct Answer: D
Rationale: Drinking contrast medium is required for GI visualization.