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, Terms in this set (50)
A nurse is reinforcing teaching with a client who has - "Your fluid intake will be limited to no more than 125 milliliters per hour"
preeclampsia and is receiving magnesium sulfate via
continuous IV infusion. Which of the following statements
should the nurse include in the teaching?
- "We will monitor your blood pressure every 2 hours"
- "Your fluid intake will be limited to no more than 125
milliliters per hour"
- "You might notice that you will begin breathing faster than
normal"
- "We will monitor your baby's heart rate once per hour"
A nurse is caring for a client who is at 20 weeks gestation - Fundal height
and is in the clinic for a routine prenatal visit. Which of the
following findings in the data form the client's medical record
should the nurse report to the provider? (click on exhibit
tabs)
Exhibit 1:
BP Week 16: 120/70 mm Hg Week 20: 130/80 mm Hg
Weight Week 16: 61.7 kg (136 lb) Week 20: 63 kg (138.9 lb)
Exhibit 2:
Fundal Height Week 16: 16 cm Week 20: 25 cm
Fetal Heart Rate Week 16: 156/min Week 20: 160/min
Exhibit 3:
Diagnostic results urine negative for albumin and glucose
both wks
Options:
- Weight
- Fudal height
- Fetal heart rate
- Blood pressure
A nurse who is caring for a client 6 hr after a vaginal birth - Help the client ambulate to the toilet
who is going to breastfeed her newborn. The client reports
perineal pain of 6 on a scale from 0 to 10. The nurse also
notes mild perineal edema and ecchymosis with a fundus
that is 2 cm above the umbilicus with deviation to the right.
Which of the following actions is the nurse's priority?
- Administer analgesics
- Apply an ice pack to the perineum
- Assist the client with breastfeeding
- Help the client ambulate to the toilet
A nurse is assisting with the care of a client who is - Decreased respiratory rate
postpartum and is receiving magnesium sulfate IV by - Decreased level of consciousness
continuous infusion to treat preeclampsia. Which of the - Double vision
following findings should the nurse identify as manifestations
of magnesium toxicity? (select all that apply)
- Hyperreflexia
- Decreased respiratory rate
- Polyuria
- Decreased level of consciousness
- Double vision
A nurse is collecting data from a client who is at 33 weeks of - Epigastric pain
gestation. Which of the following findings should the nurse
identify as an indication of a potential complication of
pregnancy?
- Leg cramps
- Tingling of fingers
- Varicose veins
- Epigastric pain
A nurse is reinforcing planning options with a client who is - "I can use water-soluble lubricant when my partner wears a latex condom"
requesting information about contraceptives. Which of the
following client statements indicates an understanding of the
teaching?
- "The diaphragm should be removed 2 hours after having
intercourse"
- "I can use water-soluble lubricant when my partner wears
a latex condom"
- "It is okay for me to remove the birth control sponge within
2 hours after having intercourse"
- "When I use the birth control patch, it must be changed
once a month"
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Students
also
studied
, Terms in this set (50)
A nurse is reinforcing teaching with a client who has - "Your fluid intake will be limited to no more than 125 milliliters per hour"
preeclampsia and is receiving magnesium sulfate via
continuous IV infusion. Which of the following statements
should the nurse include in the teaching?
- "We will monitor your blood pressure every 2 hours"
- "Your fluid intake will be limited to no more than 125
milliliters per hour"
- "You might notice that you will begin breathing faster than
normal"
- "We will monitor your baby's heart rate once per hour"
A nurse is caring for a client who is at 20 weeks gestation - Fundal height
and is in the clinic for a routine prenatal visit. Which of the
following findings in the data form the client's medical record
should the nurse report to the provider? (click on exhibit
tabs)
Exhibit 1:
BP Week 16: 120/70 mm Hg Week 20: 130/80 mm Hg
Weight Week 16: 61.7 kg (136 lb) Week 20: 63 kg (138.9 lb)
Exhibit 2:
Fundal Height Week 16: 16 cm Week 20: 25 cm
Fetal Heart Rate Week 16: 156/min Week 20: 160/min
Exhibit 3:
Diagnostic results urine negative for albumin and glucose
both wks
Options:
- Weight
- Fudal height
- Fetal heart rate
- Blood pressure
A nurse who is caring for a client 6 hr after a vaginal birth - Help the client ambulate to the toilet
who is going to breastfeed her newborn. The client reports
perineal pain of 6 on a scale from 0 to 10. The nurse also
notes mild perineal edema and ecchymosis with a fundus
that is 2 cm above the umbilicus with deviation to the right.
Which of the following actions is the nurse's priority?
- Administer analgesics
- Apply an ice pack to the perineum
- Assist the client with breastfeeding
- Help the client ambulate to the toilet
A nurse is assisting with the care of a client who is - Decreased respiratory rate
postpartum and is receiving magnesium sulfate IV by - Decreased level of consciousness
continuous infusion to treat preeclampsia. Which of the - Double vision
following findings should the nurse identify as manifestations
of magnesium toxicity? (select all that apply)
- Hyperreflexia
- Decreased respiratory rate
- Polyuria
- Decreased level of consciousness
- Double vision
A nurse is collecting data from a client who is at 33 weeks of - Epigastric pain
gestation. Which of the following findings should the nurse
identify as an indication of a potential complication of
pregnancy?
- Leg cramps
- Tingling of fingers
- Varicose veins
- Epigastric pain
A nurse is reinforcing planning options with a client who is - "I can use water-soluble lubricant when my partner wears a latex condom"
requesting information about contraceptives. Which of the
following client statements indicates an understanding of the
teaching?
- "The diaphragm should be removed 2 hours after having
intercourse"
- "I can use water-soluble lubricant when my partner wears
a latex condom"
- "It is okay for me to remove the birth control sponge within
2 hours after having intercourse"
- "When I use the birth control patch, it must be changed
once a month"
