A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?

Administer misoprostol vaginally.

Administer acetaminophen orally.

Prepare the client for placement of an intrauterine pressure catheter.

Recheck the client's temperature in 2 hr.

Answer and Explanation

The Correct Answer is B

Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.

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Correct Answer is A

Explanation

Skeletal traction is a type of traction that uses pins, wires, or tongs to apply a pulling force directly to the bone.
This can help align and stabilize a fracture while it heals.

Choice B is not the best answer because muscle traction is not a type of traction.
Choice C is not the best answer because joint traction is not a type of traction.
Choice D is not the best answer because skin traction uses adhesive strips or elastic bandages to apply a pulling force to the skin, rather than directly to the bone.

A. Risk for Down syndrome. B. Risk for neural tube defects. C. Further testing is required. D. Test needs to be repeated.

Correct Answer is C

Explanation

Elevated levels of MSAFP may indicate that the baby is at risk of a neural tube defect, like spina bifida.
However, further testing is required to confirm the results and determine the cause of the elevated levels.

Choice A is incorrect because low levels of MSAFP may indicate a risk for Down syndrome, not elevated levels.
Choice B is incorrect because while elevated levels of MSAFP may indicate a risk for neural tube defects, further testing is required to confirm this.
Choice D is incorrect because while repeating the test may be necessary, further testing beyond just repeating the MSAFP screening may also be required.

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A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F). After notifying the provider, which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

An infant suffered from a fracture of the humerus and requires traction that uses pins, wires, and tongs. What type of traction is this?

Correct Answer is A

Explanation

The nurse has just received the results of a pregnant client's MSAFP screening and notes the levels are elevated. The nurse should prioritize which discussion with the client.

Correct Answer is C

Explanation

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The nurse is working with a group of caregivers of school-aged children discussing fractures. The nurse explains that a twist around the bone frequently associated with child abuse is what type of fracture?

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A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?