Nokea
A nurse is preparing to administer metronidazole 2 g PO to a client who has trichomoniasis. Available is metronidazole 250 mg tablets. How many tablets should the nurse administer?
- A. 8 tablets
- B. 4 Tablets
- C. 2 tablets
- D. 1 tablet
Correct Answer: A
Rationale: The correct answer is A: 8 tablets. To calculate the correct dosage, divide the total dose by the dose per tablet. In this case, 2 g = 2000 mg, and each tablet is 250 mg. Therefore, 2000 mg ÷ 250 mg = 8 tablets. This ensures the client receives the correct dosage for effective treatment. Choice B (4 tablets) would result in an underdose, C (2 tablets) would be half the required dose, and D (1 tablet) would be significantly lower than the needed dose, leading to ineffective treatment.
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A nurse is teaching a new parent about breastfeeding her 2-week-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
- A. After 5 to 10 minutes when the breast is emptied, my baby should be removed from the breast.
- B. Manually expressing my milk will decrease my milk supply.
- C. My baby should always start on the same breast when feeding.
- D. The more my baby is at the breast sucking, the more milk I will produce.
Correct Answer: D
Rationale: Frequent breastfeeding stimulates milk production, ensuring an adequate milk supply for the infant.
Which of the following is a potential complication of neonatal hypoglycemia?
- A. Jaundice
- B. Respiratory distress syndrome
- C. Intraventricular hemorrhage
- D. All of the above
Correct Answer: D
Rationale: Neonatal hypoglycemia can lead to jaundice, respiratory distress syndrome, and intraventricular hemorrhage.
Which of the following is a potential complication of maternal hypothyroidism during pregnancy?
- A. Preterm labor
- B. Fetal growth restriction
- C. Preeclampsia
- D. All of the above
Correct Answer: D
Rationale: Maternal hypothyroidism can lead to preterm labor, fetal growth restriction, and preeclampsia, among other complications.
What is the recommended method of pain relief during labor for a woman with a high-risk pregnancy?
- A. Epidural anesthesia
- B. Spinal anesthesia
- C. Intravenous opioids
- D. All of the above
Correct Answer: A
Rationale: The correct answer is A: Epidural anesthesia. Epidural anesthesia is the recommended method for pain relief during labor for women with high-risk pregnancies as it provides effective pain relief while allowing the mother to remain conscious and able to actively participate in the birthing process. Epidurals can be adjusted to provide varying levels of pain relief and are considered safe for both the mother and the baby. Spinal anesthesia (B) is typically used for cesarean sections and may not be suitable for the entire labor process. Intravenous opioids (C) are less commonly used due to potential side effects on the baby. Choice D is incorrect as not all methods are recommended for high-risk pregnancies.
Select the 3 findings that require immediate follow-up.
- A. Lateral deviation of the uterus
- B. Deep tendon reflexes 1+
- C. Pain rating of 3 on a scale of 0 to 10 (increased)
- D. Peripheral edema 2+ bilateral lower extremities
- E. Uterine tone soft
- F. Large amount of lochia rubra
- G. Blood pressure 136/86 mm Hg
Correct Answer: A,B,C,G
Rationale: These findings suggest uterine atony and bladder distention, which can lead to postpartum hemorrhage, a life-threatening emergency. Immediate interventions include fundal massage, bladder emptying, and administration of uterotonic medications.