Nokea
The nurse is screening clients at risk of sudden infant death syndrome (SIDS). The nurse correctly identifies which client is at the greatest risk for SIDS? An infant who is
- A. a preterm 4-month-old female who sleeps supine and is formula fed
- B. a preterm 12-month-old male who sleeps prone and is formula fed
- C. a term 6-month-old male who sleeps supine and is formula fed
- D. a preterm 3-month-old male who sleeps lateral and is breastfed
Correct Answer: A
Rationale: Preterm infants who are formula-fed and within the peak SIDS risk age (2-4 months) have higher risk, even if sleeping supine.
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The nurse in the outpatient clinic is caring for a 33-year-old female.
Item 1 of 1
Nurses' Note
1435: Client reports vaginal discharge that is malodorous x 3 days. The client reports that the discharge is thin, green, and yellow. She reports being sexually active with multiple partners without any protection. She denies any dysuria, dyspareunia, fevers, chills, or fatigue. The client is alert and oriented to person, place, and time. Reports no pain. Lung sounds are clear, with a regular breathing pattern. Active bowel sounds in all quadrants. Peripheral pulses were 2+ and regular—no peripheral edema. Skin is warm and moist. Vital signs: T 98° F (36.7° C), P 72, RR 18, BP 132/76, pulse oximetry reading 98% on room air.
Complete the following sentences by choosing from the lists of options. The client is demonstrating signs and symptoms of ___ To confirm this diagnosis, the nurse anticipates a physician's order for...........
- A. syphilis
- B. trichomoniasis
- C. urolithiasis
- D. human immunodeficiency virus (HIV)
- E. wet mount microscopy
- F. RPR (rapid plasma reagin)
- G. HIV p24 antigen
Correct Answer: B, E
Rationale: The client's symptoms of malodorous, thin, green, and yellow vaginal discharge are characteristic of trichomoniasis, a sexually transmitted infection caused by Trichomonas vaginalis. Wet mount microscopy is the appropriate diagnostic test to confirm this by identifying the parasite.
The nurse has attended a staff education program about the signs of pregnancy. Which of the following is considered a positive sign of pregnancy?
- A. Amenorrhea
- B. Uterine soufflé
- C. Positive pregnancy test
- D. Fetal heartbeat
Correct Answer: D
Rationale: Fetal heartbeat is a positive sign of pregnancy, as it directly confirms the presence of a fetus.
The charge nurse has received a change-of-shift report on the following clients in the maternity unit. The nurse should first assess the client who
- A. delivered a term newborn 2 days ago and reports sweating and increased urinary frequency
- B. is 15 weeks pregnant and is being treated for hyperemesis gravidarum and reports increased nausea following a meal
- C. is 32 weeks pregnant and admitted 2 hours ago with placenta previa, who reports increased lower back pain
- D. is in the first stage of labor, and the most recent fetal heart rate pattern showed early decelerations
Correct Answer: C
Rationale: Increased lower back pain in a client with placenta previa at 32 weeks suggests possible complications like bleeding, requiring immediate assessment.
A client is receiving allopurinol and asks what they should know about taking this medicine. The nurse would be most correct in stating which of the following?
- A. Facial swelling is expected in the first few days of therapy.
- B. Drink at least 3000 mL of water per day.
- C. Do not eat while taking this medication.
- D. This medication begins working immediately.
Correct Answer: B
Rationale: Allopurinol requires high fluid intake (3000 mL/day) to prevent kidney stone formation.
The emergency department nurse is caring for a client with sudden onset of edema of the lips and acute shortness of breath following a bee sting. The nurse knows that the first-line medication for this presentation is:
- A. Oral diphenhydramine
- B. Nebulized albuterol
- C. Oral prednisone
- D. Parenteral epinephrine
Correct Answer: D
Rationale: Anaphylaxis from a bee sting requires immediate parenteral epinephrine to reverse airway edema and respiratory distress.