LATEST NR 493 BALUGA EXAM WITH ALL CORRECT ANSWERS AND QUESTIONS WITH RATIONALES ALREADY GRADED A+

LATEST NR 493 BALUGA EXAM WITH ALL CORRECT ANSWERS AND QUESTIONS WITH RATIONALES ALREADY GRADED A+ I. A nurse is caring for a client who is in active labor and notes the FHR baselines has been 100/min for the past 15 min. The nurse should the identify which of the following conditions as a possible cause of fetal bradycardia? a. Maternal hypoglycemia @" 4h&r(&)9+(&+(*(0 f/*)5 *)chAc)r2() c" _/*)5 )+/9() f/*)5 *)chAc)r2() 2" X)*/r+)5 f/7/r f/*)5 *)chAc)r2() Rationale: MN RM 10.0 Ch.13 p.87; FHR 110/min; complications: Uteroplacental insufficiency, umbilical cord prolapse, maternal hypotension, prolonged umbilical cord compression, fetal congenital heart block, anesthetic medications, viral infection, maternal hypoglycemia, fetal heart failure, maternal hypothermia II. A nurse is assessing a client who is prescribed valproic acid. Which of the following laboratory tests should the nurse monitor? a. Arterial blood gas b. Serum potassium c. Liver function test d. Serum creatinine Rationale: MH RM 10.0 Ch.23 p.124; Hepatotoxicity AEO Sh)r9)c&5&BA ; c&965(c)*(&+ h/6)*&*&$(c(*A g )00/00 @)0/5(+/ 5(7/r fF+c*(&+ d 9&+(*&r 5(7/r fF+c*(&+ r/BF5)r5A III. A nurse is providing a preoperative teaching about patient-controlled analgesia (PCA) to a client. Which of the following statements should the nurse include in the teaching? a. “Continuous PCA infusion is designed to allow fluctuating plasma medication levels.” b. “The PCA will deliver a double dose of medication when you push the button twice.” c. “You should push the button before physical activity to allow maximum pain control.” d. “You can adjust the amount of pain medication you receive by pushing on the keypad.” IV. A nurse is preparing to catheterize a toddler for a urine culture. Which of the following is an appropriate action for the nurse to take? a. Discard the first 10 mL of urine. b. Apply EMLA cream prior to the procedure. c. Obtain a 12 French catheter. d. Don sterile gloves prior to the procedure. V. A nurse is reviewing the laboratory levels of a client who is having elective surgery. Which of the following levels should the nurse report to the provider? a. Potassium 3.2 mEq/L 3.5 - 5.0 is normal b. BUN 16 mg/dL (Normal 10-20) c. PT 12.2 seconds (Normal 11-14) d. Fasting blood glucose 103 mg/dL