Nokea
A nurse is caring for a laboring person who is receiving an epidural. What is the most important nursing intervention when administering an epidural?
- A. Ensure the person is positioned correctly
- B. Monitor the person's blood pressure
- C. Monitor the person's oxygen saturation
- D. Administer a pain medication
Correct Answer: A
Rationale: The correct answer is A: Ensure the person is positioned correctly. This is crucial because proper positioning ensures the medication is distributed correctly and helps prevent complications like uneven distribution or nerve injury. Monitoring blood pressure (B) and oxygen saturation (C) are important but secondary to ensuring correct positioning. Administering pain medication (D) is not a nursing intervention specific to epidural administration.
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The nurse has taken a health history on four primigravid clients at their first prenatal visits. It is high priority that which of the clients receives nutrition counseling?
- A. The woman diagnosed with phenylketonuria.
- B. The woman who has Graves’ disease.
- C. The woman with Cushing’s syndrome.
- D. The woman diagnosed with myasthenia gravis.
Correct Answer: A
Rationale: Phenylketonuria (PKU) requires strict dietary management, especially during pregnancy, to prevent harm to the fetus. The other conditions do not have the same immediate dietary implications.
A nurse is preparing a postpartum person for discharge. What is the most important aspect of discharge teaching for a person who has had a cesarean section?
- A. ensure proper incision care
- B. teach about signs of infection
- C. provide skin-to-skin contact
- D. assess for bleeding
Correct Answer: B
Rationale: The correct answer is B: teach about signs of infection. This is the most important aspect of discharge teaching for a person who has had a cesarean section because infection is a common complication post-surgery. By educating the person on signs of infection such as fever, increased pain, redness, or discharge from the incision site, they can promptly seek medical attention if needed. Ensuring proper incision care (choice A) is important but preventing infection through early detection is crucial. Providing skin-to-skin contact (choice C) is beneficial for bonding but not directly related to post-cesarean care. Assessing for bleeding (choice D) is important but typically done in a healthcare setting post-surgery.
Which food is the best source of iron?
- A. Raisins
- B. Hamburger
- C. Broccoli
- D. Molasses
Correct Answer: B
Rationale: Hamburger is rich in heme iron, which is more easily absorbed by the body compared to non-heme sources like raisins or molasses.
The component of development that programs the genetic code into the nucleus of the cell is ____________.
- A. DNA
- B. Plastoderm
- C. haploid
- D. Endoderm
Correct Answer: A
Rationale: DNA (deoxyribonucleic acid) contains the genetic instructions used in the development and functioning of all living organisms. It programs the genetic code into the nucleus of the cell for replication and expression.
A pregnant patient with a history of anemia is asking the nurse about managing iron deficiency. Which of the following statements by the nurse would be most appropriate?
- A. Iron supplements should be taken with milk for better absorption.
- B. Iron supplements should be taken with a source of vitamin C to enhance absorption.
- C. Iron supplements should be avoided during the second trimester.
- D. Iron supplements should be taken at night before bed.
Correct Answer: B
Rationale: The correct answer is B: Iron supplements should be taken with a source of vitamin C to enhance absorption. Iron absorption is increased in the presence of vitamin C. Vitamin C helps convert iron into a more absorbable form. This is crucial for managing iron deficiency anemia in pregnant patients.
Incorrect choices:
A: Iron supplements should not be taken with milk as calcium in milk can hinder iron absorption.
C: Iron supplements are safe to take throughout pregnancy, and avoiding them during the second trimester is not recommended.
D: There is no specific recommendation to take iron supplements at night before bed; it can be taken at any time of the day.