Nokea
Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.
- A. Monitor blood pressure.
- B. Initiate contact precautions.
- C. Prepare for amniocentesis .
- D. Apply internal fecal monitor.
- E. Decrease lighting in the client's room
- F. Check urinary output.
- G. Encourage bed rest.
Correct Answer: A,C,G
Rationale: Reposition the client (Trendelenburg or knee-chest)
You may also like to solve these questions
Which of the following is a potential cause of male infertility?
- A. Varicocele
- B. Testicular cancer
- C. Erectile dysfunction
- D. All of the above
Correct Answer: D
Rationale: Male infertility can be caused by varicocele, testicular cancer, or erectile dysfunction.
The nurse is assessing the client 24 hr later. How should the nurse interpret the findings?
- A. Hematuria
- B. Proteinuria 2+
- C. Leukorrhea
- D. Positive clonus
- E. BUN 40 mg/dL
- F. Platelet count 110,000/mm3
Correct Answer:
Rationale:
What is the recommended method of administering vitamin K to a newborn who is not at risk for bleeding?
- A. Intramuscular injection
- B. Oral administration
- C. Topical application
- D. Subcutaneous injection
Correct Answer: B
Rationale: Oral administration is the recommended method for administering vitamin K to a newborn who is not at risk for bleeding, as it is less invasive and effective.
Which of the following is a potential complication of neonatal hypocalcemia?
- A. Hypoglycemia
- B. Seizures
- C. Respiratory distress syndrome
- D. All of the above
Correct Answer: B
Rationale: Seizures are a potential complication of neonatal hypocalcemia due to the critical role of calcium in nerve and muscle function.
A nurse is assessing a client who gave birth vaginally 12 hr ago and palpates their uterus to the right above the umbilicus. Which of the following interventions should the nurse perform?
- A. Reassess the client in 2 hr.
- B. Administer simethicone.
- C. Assist the client to empty their bladder.
- D. Instruct the client to lie on their right side.
Correct Answer: C
Rationale: A displaced uterus to the right above the umbilicus may indicate a full bladder. Assisting the client to empty their bladder helps the uterus return to its proper position and prevents complications like postpartum hemorrhage.