A nurse in an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?

A client who is at 34 weeks of getation and reports double vision

A client who is at 38 weeks of gestation and reports leg cramps

A client who is at 8 weeks of gestation and reports excessive salivation

A client who is at 24 weeks of gestation and reports periodic finger numbness

Answer and Explanation

The Correct Answer is A

A. Double vision at 34 weeks of gestation is a potential sign of preeclampsia, which can lead to severe complications such as seizures (eclampsia), stroke, or organ damage. This client requires immediate assessment.
B. Leg cramps are common in late pregnancy due to pressure on nerves and changes in circulation. This is not an urgent concern.
C. Excessive salivation (ptyalism) is benign and can occur in early pregnancy due to hormonal changes. It does not require immediate assessment.
D. Periodic finger numbness is often due to carpal tunnel syndrome, a common non-urgent condition in pregnancy caused by fluid retention.

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Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

The nurse should prepare to administer naloxone and oxygen by face mask 10 L/min.

Rationale:

Naloxone is used to reverse opioid-induced respiratory depression, which is a potential risk during moderate sedation.
Oxygen by face mask 10 L/min is necessary to maintain adequate oxygenation during and after sedation, as respiratory depression can occur.

Acetaminophen is not used for immediate management of sedation-related complications.
An additional dose of fentanyl or propofol would deepen sedation, not manage its complications.
Propranolol is a beta-blocker that is not indicated in this situation.

A. Document in the client's medical record if the client has advance directives. B. Ensure the client has an attorney to contact for assistance with end-of-life documents. C. Provide end-of-life education if the client has a terminal illness. D. Provide the client with a list of eligible individuals who can serve as a health care proxy.

Correct Answer is A

Explanation

A. The Patient Self-Determination Act (PSDA) requires health care facilities to ask clients about advance directives upon admission and document their status in the medical record. This ensures that the client’s treatment preferences are known and respected.
B. Ensuring the client has an attorney is not a requirement of the PSDA. Clients may choose legal assistance, but it is not mandated by the act.
C. Providing end-of-life education is beneficial but not specifically required by the PSDA. The act focuses on informing clients of their rights regarding advance directives.
D. The PSDA does not require facilities to provide a list of eligible health care proxies. Instead, it ensures clients are informed of their right to appoint one.

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A nurse in an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in the emergency department. Exhibits Complete the following sentence by using the list of options. The nurse should prepare to administer dropdown and dropdown

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"E"}

Explanation

A nurse is admitting a client to the medical-surgical unit. The Patient Self-Determination Act requires the nurse to perform which of the following actions during the admission process?

Correct Answer is A

Explanation

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