A nurse is attending to a client.
The nurse notes the following vital signs: Heart rate 88/min, Temperature 38.2 C (100.9" F), Respiratory rate 20/min, Blood pressure 122/58 mm Hg. Based on the client’s medical record, what provider prescription should the nurse anticipate?

Prescription A

Prescription B

Prescription C

Prescription D

Answer and Explanation

The Correct Answer is C

Choice A rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription A based on the information provided.

Choice B rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription B based on the information provided.

Choice C rationale

The client’s temperature is slightly elevated, which could indicate an infection or other medical condition. Prescription C might be an antibiotic or other medication to treat the suspected condition.

Choice D rationale

The client’s vital signs are within normal limits, and there is no indication of a condition that would require Prescription D based on the information provided.

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Correct Answer is D

Explanation

Choice A rationale

Bleeding or spotting can accompany implantation. This is a common occurrence and does not necessarily indicate a problem with the pregnancy. It happens when the fertilized egg attaches to the lining of the uterus. Some women may mistake this bleeding for a light period, but it’s a sign of pregnancy.

Choice B rationale

Fertilization typically takes place in the outer third of the fallopian tube. After ovulation, the egg travels down the fallopian tube towards the uterus. If sperm are present in the fallopian tube at this time, fertilization can occur. This is a normal part of the reproductive process.

Choice C rationale

Sperm can remain viable in the woman’s reproductive tract for 2 to 3 days. This means that intercourse does not have to coincide exactly with ovulation in order to achieve pregnancy. The sperm can survive long enough to fertilize the egg when it is released.

Choice D rationale

The statement “Implantation occurs between 2 and 3 weeks after conception” is incorrect and requires intervention by the nurse. Implantation actually occurs about 6-10 days after ovulation, which is less than 2 weeks after conception.

A. Broccoli. B. Apple juice. C. Peanut butter. D. Potatoes.

Correct Answer is C

Explanation

Choice C rationale

Phenylketonuria (PKU) is a metabolic disorder that results in decreased metabolism of the amino acid phenylalanine. High levels of phenylalanine can lead to intellectual disability and other serious health problems. Foods high in protein, such as peanut butter, contain high levels of phenylalanine and should be avoided by individuals with PKU34.

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A nurse is attending to a client.The nurse notes the following vital signs: Heart rate 88/min, Temperature 38.2 C (100.9" F), Respiratory rate 20/min, Blood pressure 122/58 mm Hg. Based on the client’s medical record, what provider prescription should the nurse anticipate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client.Which of the following statements by the newly licensed nurse requires intervention by the nurse?

Correct Answer is D

Explanation

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

Correct Answer is C

Explanation

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A nurse is attending to a client.
The nurse notes the following vital signs: Heart rate 88/min, Temperature 38.2 C (100.9" F), Respiratory rate 20/min, Blood pressure 122/58 mm Hg. Based on the client’s medical record, what provider prescription should the nurse anticipate?