Nokea
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, an opioid analgesic that depresses the central nervous system, causing drowsiness.
You may also like to solve these questions
A nurse is reinforcing teaching with a client about various contraceptive methods.
Which of the following statements should the nurse include in the teaching?
- A. You will need to receive a medroxyprogesterone acetate injection once per month.
- B. Combined estrogen-progestin contraceptive pills cause longer periods.
- C. You will need to have your diaphragm replaced every 4 years.
- D. Oral contraceptives decrease the risk for endometrial cancer.
Correct Answer: D
Rationale: Oral contraceptives decrease the risk for endometrial cancer by preventing thickening of the uterine lining, offering a protective effect with prolonged use.
A nurse is caring for a client who inquires about available methods of contraception.
Which of the following actions should the nurse take?
- A. Collect a dietary history.
- B. Assess the client's socioeconomic status.
- C. Perform unbiased teaching.
- D. Select the best method of contraception for the client.
Correct Answer: C
Rationale: Performing unbiased teaching provides comprehensive contraception information, empowering the client to make an informed decision autonomously.
A nurse is reinforcing teaching about breastfeeding with a client who is postpartum.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will make sure that just the nipple is in my baby’s mouth.
- B. I will apply vitamin E oil to my nipples after each feeding.
- C. I will nurse my baby for 5 to 10 minutes on each breast.
- D. I will lay my baby on a pillow at the level of my breast.
Correct Answer: D
Rationale: Laying the baby on a pillow at breast level ensures proper positioning and latch, key to successful breastfeeding.
Nurses' Notes: The newborn is lying in a bassinet, lightly swaddled. Jitteriness observed when disturbed, weak cry, mottled extremities, mild acrocyanosis. Respirations rapid but unlabored. No lethargy, no feedings since birth. Vital Signs: Heart rate: 156/min, Respiratory rate: 64/min, Temperature: 36.1°C (97.0°F), Oxygen saturation: 96% on room air, Blood glucose level: 30 mg/dL.
Complete the diagram by dragging from the choices below to specify: Condition, Actions to Take, Parameters to Monitor (2 Correct). Condition Choices: A. Hypoglycemia, B. Congenital heart defect, C. Neonatal sepsis, D. Neonatal abstinence syndrome. Actions: A. Obtain a capillary blood glucose reading, B. Feed the newborn immediately with breastmilk or formula, C. Administer IV glucose as prescribed, D. Initiate phototherapy, E. Place under a radiant warmer. Parameters: A. Blood glucose levels, B. Respiratory effort, C. Serum bilirubin levels, D. Skin integrity, E. Oxygen saturation.
- A. Hypoglycemia
- B. Obtain a capillary blood glucose reading
- C. Feed the newborn immediately with breastmilk or formula
- D. Blood glucose levels
- E. Respiratory effort
Correct Answer: A,A,B,A,B
Rationale: Low glucose (30 mg/dL) and jitteriness indicate hypoglycemia; feeding and glucose checks address it; glucose and respiratory effort monitor progress.
A nurse is caring for a 37-year-old female client in the labor and delivery unit in early labor with contractions and reports feeling fetal movement.
The nurse should anticipate a provider's prescription for ___ due to the client’s ___.
- A. Continuous fetal monitoring , term gestation with regular contractions
- B. regular exercise,fetal positioning
Correct Answer: A
Rationale: Continuous fetal monitoring ensures observation of fetal heart rate and labor progress in a term client with regular contractions.