Nokea
An obstetric client is admitted with dehydration. Which IV fluid would be most appropriate for the client?
- A. .45 normal saline
- B. Dextrose 1% in water
- C. Lactated Ringer's
- D. Dextrose 5% in .45 normal saline
Correct Answer: C
Rationale: Lactated Ringer's is isotonic and effective for correcting dehydration in obstetric clients, replacing fluids and electrolytes.
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A removal of the left lower lobe of the lung is performed on a client with lung cancer. Which post-operative measure would usually be included in the plan?
- A. Closed chest drainage
- B. A tracheostomy
- C. A Swan Ganz Monitor
- D. Percussion vibration and drainage
Correct Answer: A
Rationale: Closed chest drainage is used post-lobectomy to remove air and fluid from the pleural space, promoting lung re-expansion.
The client is having a cardiac catheterization. During the procedure, the client tells the nurse, 'I'm feeling really hot.' Which response would be best?
- A. You are having an allergic reaction. I will get an order for Benadryl.
- B. That feeling of warmth is normal when the dye is injected.
- C. That feeling of warmth indicates that the clots in the coronary vessels are dissolving.
- D. I will tell your doctor and let him explain to you the reason for the hot feeling that you are experiencing.
Correct Answer: B
Rationale: A warm sensation is a normal response to the injection of contrast dye during cardiac catheterization.
An RN notices an LPN in the medication room drawing up morphine. The RN asks the LPN who it is for. The LPN states that one of her clients needs pain medication. The RN offers to administer the dose, but the LPN says, 'It's ok. I can give it. I've had this client for several days and she is stable.' Which is the correct response by the nurse?
- A. Let me double-check the dose with you.
- B. OK, but let me know if you need help with anything.
- C. I am going to report this to the charge nurse immediately.
- D. You shouldn't do that. Let me chart it while you give it to save time.
Correct Answer: C
Rationale: LPNs typically cannot administer IV narcotics like morphine in most states due to scope of practice limitations. The RN should report this to the charge nurse for clarification and safety.
A nursing instructor is preparing a lesson on the dangers of using drugs and alcohol during pregnancy. She would include which of the following as a primary disability associated with children diagnosed with fetal alcohol syndrome?
- A. poor motor skills
- B. promiscuous behavior
- C. future drug and alcohol dependency
- D. diagnosis of clinical depression
Correct Answer: A
Rationale: Fetal alcohol syndrome causes primary disabilities like poor motor skills due to neurological damage. Promiscuity, dependency, and depression are not primary effects.
The nurse is preparing to assist with a lumbar puncture for a client with suspected meningitis. Which of the following positions should the nurse place the client in?
- A. Supine with the head elevated.
- B. Prone with the head turned to one side.
- C. Side-lying with knees flexed to the chest.
- D. Sitting with the back arched.
Correct Answer: C
Rationale: side-lying with knees flexed to the chest maximizes spinal flexion, facilitating access to the subarachnoid space