Nokea
The most common side effect of tocolytic agents is:
- A. Vaginal bleeding.
- B. Abdominal pain.
- C. Nausea,vomiting.
- D. Palpitations.
- E. Oliguria.
Correct Answer: D
Rationale: Tocolytics such as beta-agonists commonly cause palpitations due to their sympathomimetic effects. Other side effects are less frequent or not primarily associated.
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The nurse is caring for the client who has just given birth to a baby boy. The mother is O negative. The nurse should assess for ABO incompatibility and hyperbilirubinemia if the infant’s blood type is which type?
- A. O positive
- B. O negative
- C. A negative
- D. Any type
Correct Answer: C
Rationale: ABO incompatibility occurs when a mother with type O blood (no antigens A/B antibodies) has an infant with A or B blood (e.g. A negative) leading to hemolysis and hyperbilirubinemia. O blood types are compatible.
Which response by the nurse best explains why aspirin is preferred to acetaminophen (Tylenol) in the treatment of rheumatic fever?
- A. Aspirin controls fever better.
- B. Aspirin prevents infections.
- C. Aspirin relieves joint inflammation.
- D. Aspirin prevents cardiac enlargement.
Correct Answer: C
Rationale: Aspirin is preferred in rheumatic fever due to its anti-inflammatory properties, which relieve joint inflammation and pain associated with polyarthritis. Acetaminophen lacks significant anti-inflammatory effects, making aspirin more effective.
Which diet is most appropriate for an adolescent with oral lesions and a herpes simplex infection of the mouth secondary to acquired immunodeficiency syndrome (AIDS)?
- A. High-calorie, bland diet
- B. Soft, low-protein diet
- C. Low-residue, low-fat diet
- D. High-residue, low-cholesterol diet
Correct Answer: A
Rationale: A high-calorie, bland diet supports nutritional needs while minimizing irritation to oral lesions, appropriate for an AIDS patient with oral herpes lesions.
Preterm labour is defined as spontaneous onset of painful regular uterine contractions at any time prior to:
- A. A stage of fetal viability.
- B. The second stage of labour.
- C. The 32nd week of gestation.
- D. The 37th week of gestation.
- E. The 40th week of gestation.
Correct Answer: D
Rationale: Preterm labor is defined as regular contractions before 37 weeks gestation leading to cervical change. This is the standard cutoff for preterm delivery.
Which nursing action would best help the child to cope with the effects of the chemotherapy?
- A. Serve the child a well-balanced meal before beginning the chemotherapy.
- B. Give the child an antiemetic before beginning the chemotherapy.
- C. Encourage the child to get plenty of rest before beginning the chemotherapy.
- D. Give the child pain medication before beginning the chemotherapy.
Correct Answer: B
Rationale: Chemotherapy often causes nausea and vomiting. Administering an antiemetic prophylactically manages these side effects, improving the child's comfort and coping.