Nokea
Cloxacillin 500 mg by mouth four times per day for 10 days has been ordered for a client with a breast abscess. The client states that she is unable to swallow pills. The oral solution is available as 125 mg/5 mL. How many mL of medicine should the woman take per dose? (Calculate to the nearest whole.)
- A. 20
- B. NA
- C. NA
- D. NA
Correct Answer: A
Rationale: Calculation: 500 mg ÷ 125 mg × 5 mL = 20 mL.
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The nurse evaluates a postpartum couplet for parent-infant attachment. What finding would be concerning?
- A. The postpartum person is sleepy.
- B. Parents are both caring for the infant.
- C. The parent is disinterested in the infant.
- D. The family is involved.
Correct Answer: C
Rationale: The correct answer is C because parent-infant attachment involves emotional bonding and responsiveness. If a parent is disinterested, it may indicate a lack of bonding and potential attachment issues. Choice A is not concerning as sleepiness is common postpartum. Choice B is positive as both parents caring for the infant contributes to attachment. Choice D is also positive as family involvement can support attachment.
A client who received an epidural for her operative delivery has vomited twice since the surgery. Which of the following prn medications ordered by the anesthesiologist should the nurse administer at this time?
- A. Reglan (metoclopramide).
- B. Demerol (meperidine).
- C. Seconal (secobarbital).
- D. Benadryl (diphenhydramine).
Correct Answer: A
Rationale: Reglan treats nausea.
A nurse is developing a teaching plan for parents who are taking home their 2-day-old breastfed baby. Which of the following should the nurse include in the plan?
- A. Wash hands well before picking up the baby.
- B. Refrain from having visitors for the first month.
- C. Wear a mask to prevent transmission of a cold.
- D. Sterilize the breast pump supplies after every use.
Correct Answer: A
Rationale: Hand hygiene is crucial to prevent infection.
A neonate is admitted to the nursery. The nurse makes the following assessments: weight 3,845 grams, head circumference 35 cm, chest circumference 33 cm, positive Ortolani sign, and presence of supernumerary nipples. Which of the assessments should be reported to the health care practitioner?
- A. Birth weight.
- B. Head and chest circumferences.
- C. Ortolani sign.
- D. Supernumerary nipples.
Correct Answer: C
Rationale: Positive Ortolani sign indicates hip instability and requires medical evaluation.
A nurse is working on the postpartum unit. Which of the following patients should the nurse assess first?
- A. PP1 from vaginal delivery with complaints of burning on urination.
- B. PP2 from forceps delivery with blood loss of 500 mL at time of delivery.
- C. PP3 from vacuum delivery with hemoglobin of 7.2 g/dL.
- D. PO4 from cesarean delivery with complaints of firm and painful breasts.
Correct Answer: C
Rationale: Severe anemia requires immediate attention.