CORRECT!!
The LPN has initiated the administration of vancomycin via IV piggyback . In which of
the following situations should the nurse recognize that the client may be experiencing a
fatal reaction to this medication?
The client complains of pain at the intravenous catheter insertion site
The nurse hears the client snoring from the hall
The nurse notices the client's neck and chest is bright red
The client start coughing - ANSWERSThe nurse notices the client's neck and chest is
bright red
Feedback
While administering vancomycin the LPN should know to monitor the client carefully for
the development of Red Man Syndrome or anaphylactic shock. The common side
effects of this medicine are pruritus, flushing and erythema to the head, neck, and upper
body.
A 36 weeks gestation pregnant woman is complaining of urinary urgency and
frequency. The nurse explained that the enlarging fetus is pressing the bladder which
causes frequent urination. This is normally occuring during the first and third trimesters
of pregnancy. The nurse advices the patient to do the following measures to prevent
urinary frequency. Select all the necessary measures that the nurse can provide to the
patient.
Engaging in a regular exercise
Drink 2 quarts of fluid during the day
, Performing Kegel exercises
Limiting fluid intake during the evening
Soaking in a warm sitz bath - ANSWERSDrink 2 quarts of fluid during the day
Performing Kegel exercises
Limiting fluid intake during the evening
The nurse identifies substance abuse behaviors exhibited by a pregnant client during an
initial prenatal screening. While promoting a therapeutic and accepting environment, the
care managment by the nurse would be MOST appropriate if focused on which of the
following?
Eliminating substance use during pregnancy
Termination of the pregnancy at an early stage
Setting boundaries with the client in regards to substance use
Discouraging substance use during pregnancy - ANSWERSEliminating substance use
during pregnancy
During a lecture on reproduction, a student nurse asks the instructor what determines
the sex of a fetus. Accurate information in response to this question would be:
"Sex is determined by the chromosomes contributed by the ovum."
"The fertilization of the zygote is the point at which sex is determined."
"Males have one less pair of chromosomes than females."
"The sex of the fetus is not determined until the eighth week of gestation." -
ANSWERS"The fertilization of the zygote is the point at which sex is determined."
Feedback
The sex of the fetus is determined at the point that the sperm fertilizes the ovum to form
the zygote. Sex is ultimately determined by the chromosome contributed by the sperm.
When assessing the adequacy of sperm for conception to occur, which of the following
is the most useful criterion?
Sperm volume