Nokea
The nurse is preparing to administer terbutaline(Brethine) to a multigravid client in preterm labor. Before administering this drug intravenously, the nurse should determine the results of the following?
- A. Hematocrit.
- B. Weight gain.
- C. Urinary output.
- D. Heart rate.
Correct Answer: D
Rationale: Heart rate should be monitored due to terbutaline's potential to cause tachycardia.
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A multigravid client thought to be at 14 weeks' gestation reports that she is experiencing such severe morning sickness that "she has not been able to keep anything down for a week." The nurse should assess for signs and symptoms of which of the following?
- A. Hypercalcemia.
- B. Hypobilirubinemia.
- C. Hypokalemia.
- D. Hyperglycemia.
Correct Answer: C
Rationale: Persistent vomiting can lead to hypokalemia.
In preparation for discharge, the nurse discusses sexual issues with a primiparous client who had a routine vaginal delivery with a midline episiotomy. The nurse should instruct the client that she can resume sexual intercourse:
- A. In 6 weeks when the episiotomy is completely healed.
- B. After a postpartum check by the health care provider.
- C. Whenever the client is feeling amorous and desirable.
- D. When lochia flow and episiotomy pain have stopped.
Correct Answer: D
Rationale: Resuming sexual intercourse is safe when lochia has stopped and episiotomy pain has resolved, indicating healing.
A nurse is discussing the contraceptive injection with a client. Which of the following benefits should the nurse highlight?
- A. It provides protection against STIs.
- B. It is effective for 3 months per injection.
- C. It requires daily administration.
- D. It guarantees regular periods.
Correct Answer: B
Rationale: The contraceptive injection is effective for 3 months per injection, offering convenient long-term contraception. It does not protect against STIs, is not administered daily, and may cause irregular periods.
A client is considering a hormonal IUD. Which of the following benefits should the nurse highlight?
- A. It provides protection against STIs.
- B. It can reduce menstrual bleeding over time.
- C. It requires replacement every year.
- D. It is suitable for women with heavy menstrual bleeding.
Correct Answer: B
Rationale: A hormonal IUD, like Mirena, can reduce menstrual bleeding over time, often leading to lighter periods or amenorrhea. It does not protect against STIs, lasts 3-7 years depending on the type, and is suitable for heavy bleeding, but B is the primary benefit.
A nurse is counseling a client about the use of spermicides. Which of the following instructions should the nurse include?
- A. Apply spermicide 10-30 minutes before intercourse.
- B. Use spermicide alone for maximum effectiveness.
- C. Leave spermicide in place for at least 24 hours.
- D. Apply spermicide after intercourse.
Correct Answer: A
Rationale: Spermicide should be applied 10-30 minutes before intercourse for optimal effectiveness. It is not most effective alone, should not be left for 24 hours, and is applied before, not after, intercourse.