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A nurse is reinforcing discharge teaching about home safety with a client who is postpartum.
In which of the following positions should the nurse instruct the client to place their newborn in the crib?
- A. Supine.
- B. Left lateral.
- C. Right lateral.
- D. Prone.
Correct Answer: A
Rationale: Placing a newborn in the supine position (on their back) is recommended to reduce the risk of sudden infant death syndrome (SIDS), a proven safe sleep practice.
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A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride.
Which of the following manifestations should the nurse identify as an adverse effect of this medication?
- A. Fever.
- B. Diarrhea.
- C. Sedation.
- D. Diuresis.
Correct Answer: C
Rationale: Sedation is a known adverse effect of nalbuphine hydrochloride as it acts on the central nervous system to relieve pain, which can cause drowsiness.
Vital Signs 0830: Temperature: 36.9°C (98.4°F), Heart rate: 89/min, Respiratory rate: 16/min, Blood pressure: 110/60 mm Hg, Oxygen saturation: 97% on room air. 0930: Temperature: 38.2°C (100.8°F), Heart rate: 90/min, Respiratory rate: 20/min, Blood pressure: 120/68 mm Hg, Oxygen saturation: 98% on room air. A nurse is caring for a 27-year-old female client at 32 weeks gestation in the labor and delivery unit admitted for evaluation of a suspected infection during labor.
For each potential provider prescription, click to specify whether the prescription is anticipated or contraindicated for the client: A. Betamethasone 12 mg IM now and repeat in 24 hr, B. Position the client supine, C. Terbutaline 0.25 mg Subcutaneous now, D. Collect a urine sample.
- A. Betamethasone 12 mg IM now and repeat in 24 hr (Anticipated)
- B. Position the client supine (Contraindicated)
- C. Terbutaline 0.25 mg Subcutaneous now (Anticipated)
- D. Collect a urine sample (Anticipated)
Correct Answer: A,C,D
Rationale: Betamethasone aids fetal lung maturity, terbutaline delays preterm labor, and urine sample assesses infection; supine position risks uterine perfusion.
A home health nurse is caring for a client who has unilateral mastitis and is experiencing discomfort in the affected breast.
Which of the following instructions should the nurse include?
- A. Recommend the client avoid wearing a nursing bra until symptoms resolve.
- B. Suggest the client apply warm compresses to the affected breast.
- C. Encourage the client to limit oral fluid intake to decrease milk production.
- D. Tell the client to apply hydrocortisone ointment to the affected area.
Correct Answer: B
Rationale: Applying warm compresses relieves pain and inflammation in mastitis, promoting circulation and healing.
A nurse in a provider's office is reinforcing teaching with a client who is pregnant and is scheduled for a nonstress test.
Which of the following statements should the nurse make?
- A. You will not be able to eat or drink anything for several hours prior to the test.
- B. You will receive medication through an IV to initiate contractions.
- C. You will be required to lie flat on your back for the duration of the test.
- D. You will press the provided button when you feel the baby move during the test.
Correct Answer: D
Rationale: Pressing a button when the baby moves during a nonstress test records fetal activity, assessing well-being without inducing contractions.
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to start chemotherapy immediately.
- B. I will need home palliative services after I am discharged.
- C. I will need to attend a support group when I get home.
- D. I will need an amniocentesis within 1 month.
Correct Answer: C
Rationale: Attending a support group aids emotional recovery after a molar pregnancy, indicating understanding of psychosocial support needs.