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 A

Explanation

Choice A rationale

Maintain the patient on bed rest. This is a common nursing intervention for a patient who is experiencing an inevitable abortion. Bed rest can help reduce the risk of further complications, such as heavy bleeding. It can also provide the patient with a chance to rest and recover physically and emotionally.

Choice B rationale

Offer the option to view products of conception. This intervention may not be appropriate for all patients. While some patients may find it helpful to view the products of conception, others may find it distressing. It’s important to discuss this option with the patient and respect her wishes.

Choice C rationale

Administer oxygen via a nasal cannula. This intervention may not be necessary for all patients experiencing an inevitable abortion. While oxygen therapy can be used to treat hypoxia in patients with heavy bleeding, it’s not typically required unless the patient shows signs of hypoxia.

Choice D rationale

Instruct the patient to increase potassium-rich foods in the diet. This intervention is not typically part of the care plan for a patient experiencing an inevitable abortion. While a balanced diet is important for overall health, there’s no specific need to increase potassium-rich foods in the diet in this situation.

A. You can receive an influenza vaccination during pregnancy. B. You should not receive the rubella vaccine while breastfeeding. C. You should receive a varicella vaccine before you deliver. D. You cannot receive the Tdap vaccine until after you deliver.

Correct Answer is A

Explanation

Choice A rationale

The nurse should include in the teaching that a client who is 23 weeks pregnant can receive an influenza vaccination during pregnancy. This is because the influenza vaccine is safe and recommended for pregnant women to protect both the mother and the baby from the flu.

Choice B rationale

The rubella vaccine is a live vaccine and is not recommended during pregnancy or while breastfeeding due to the potential risk to the baby. However, it can be given immediately after delivery if the woman is not immune.

Choice C rationale

The varicella vaccine is also a live vaccine and is not recommended during pregnancy. It should be given before pregnancy or immediately after delivery if the woman is not immune.

Choice D rationale

The Tdap (Tetanus, Diphtheria, Pertussis) vaccine is actually recommended during each pregnancy, regardless of the patient’s previous history of receiving the vaccine. The optimal timing for Tdap administration is between 27 and 36 weeks of gestation.

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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 is formulating a care plan for a patient who is 10 weeks pregnant and reports abdominal pain and moderate vaginal bleeding.The preliminary diagnosis is an inevitable abortion.Which nursing interventions should be included in the care plan?

Correct Answer is A

Explanation

A nurse is educating a client who is 23 weeks pregnant about immunizations.Which statement should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing care to a client in her first trimester of pregnancy.The client inquires if she can maintain her exercise regimen during pregnancy.What would be the nurse’s most appropriate response?

A nurse is caring for a client during the first trimester of pregnancy.After reviewing the client’s blood work, the nurse notices she does not have immunity to rubella.When is the recommended time for rubella immunization?

A nurse in an antepartum unit is triaging clients.Which of the following clients should the nurse see first?

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?

The nurse is planning instructions for a patient desiring to have a tubal ligation.Which information should the nurse emphasize when teaching the patient?

A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2022. Which of the following is the appropriate response by the nurse?

A nurse in a prenatal clinic is conducting a skin assessment of a patient in her second trimester.Which findings should the nurse anticipate? (Select all that apply.)

A nurse is completing a health history for a client who is at 6 weeks of gestation.The client informs the nurse that she smokes one pack of cigarettes per day.The nurse should advise the client that smoking places the client’s newborn at risk for which of the following complications?

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?