A nurse is assisting with the care of a client who is at 34 weeks of gestation and received a dose of nifedipine 2 hr ago. For which of the following therapeutic effects should the nurse monitor?
An increase in platelet count
A decrease in blood pressure
A decrease in FHR
An increase in urinary output
The Correct Answer is B
A. Nifedipine does not directly affect platelet count.
B. Nifedipine is a calcium channel blocker used to lower blood pressure. Monitoring for a decrease in blood pressure is essential.
C. Nifedipine does not typically cause a significant decrease in fetal heart rate (FHR).
D. While nifedipine may impact urinary output indirectly through blood pressure regulation, it is not the primary therapeutic effect to monitor.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B. Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C. Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D. Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.
Correct Answer is D
Explanation
A. Elevating a baby's head on a cushion during sleep is not recommended, as it may increase the risk of Sudden Infant Death Syndrome (SIDS).
B. Using baby powder with each diaper change is not recommended, as it can be harmful if inhaled by the baby.
C. Setting the hot water heater to 130 degrees Fahrenheit is too hot and can scald a baby. The recommended temperature is around 120 degrees Fahrenheit.
D. This statement indicates an understanding of the importance of regularly changing smoke detector batteries, which is a critical aspect of newborn safety.
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