A nurse is caring for a client who is at 36 weeks of gestation and is undergoing a nonstress test (NST). The test is nonreactive. Which of the following interventions should the nurse suggest based on the findings?

Kleihauer-Betke test

Amnioinfusion

Administration of terbutaline

Contraction stress test

Answer and Explanation

The Correct Answer is D

A. Kleihauer-Betke test. This test is used to detect fetal-maternal hemorrhage by identifying fetal red blood cells in maternal circulation. It is not related to a nonreactive NST, which indicates the need for further fetal well-being assessment rather than checking for fetal-maternal bleeding.
B. Amnioinfusion. This procedure involves infusing fluid into the amniotic sac to relieve umbilical cord compression or dilute meconium-stained amniotic fluid. It is not an appropriate intervention for a nonreactive NST, as it does not assess fetal oxygenation or reactivity.
C. Administration of terbutaline. Terbutaline is a tocolytic used to relax the uterus and prevent preterm labor. It is not indicated for a nonreactive NST, as the concern in this scenario is fetal well-being rather than uterine activity.
D. Contraction stress test. A nonreactive NST means that the fetal heart rate does not demonstrate adequate accelerations, which can indicate potential fetal hypoxia. A contraction stress test is performed next to evaluate how the fetal heart rate responds to contractions, helping determine if the fetus can tolerate labor.

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Correct Answer is C

Explanation

A. Beneficence. Beneficence refers to the ethical obligation to promote the well-being of clients and take actions that benefit them. While providing medication education supports the client's health, the primary ethical principle demonstrated in truthfully explaining adverse effects is veracity, not beneficence.
B. Justice. Justice involves fairness in the distribution of resources, treatment, and care. It ensures that all clients receive equitable care regardless of personal or socioeconomic differences. While justice is a fundamental ethical principle, it does not directly relate to truthfulness in medication education.
C. Veracity. Veracity is the ethical principle of honesty and truthfulness in communication with clients. By truthfully informing the client about the adverse effects of their prescribed medications, the nurse upholds veracity, ensuring the client has accurate information for informed decision-making.
D. Autonomy. Autonomy refers to the client’s right to make informed decisions about their care. While providing truthful information supports autonomy, the ethical concept the nurse demonstrates in this scenario is veracity, as the focus is on truthfully sharing medication information.

A. Increased intake of green, leafy vegetables B. Wears a face mask around others C. Uses a firm-bristled toothbrush D. Sleeps 8 to 10 hr per night

Correct Answer is C

Explanation

A. Increased intake of green, leafy vegetables does not inherently increase the risk for injury in clients with thrombocytopenia. In fact, these vegetables can provide essential vitamins and nutrients. However, clients may need to monitor their intake of vitamin K if they are on anticoagulant therapy, but this does not directly correlate with injury risk related to thrombocytopenia.
B. Wears a face mask around others is a precautionary measure typically used to prevent infection, especially in immunocompromised clients. This action does not increase the risk for injury; instead, it helps protect the client from potential pathogens.
C. Uses a firm-bristled toothbrush increases the risk for injury in clients with thrombocytopenia. A firm-bristled toothbrush can cause gum irritation and bleeding due to low platelet counts, which can lead to prolonged bleeding and increase the risk of oral injuries. Soft-bristled toothbrushes are recommended to minimize the risk of bleeding.
D. Sleeps 8 to 10 hr per night is a healthy behavior that supports overall well-being and recovery. Adequate sleep can help the body heal and does not increase the risk for injury in clients with thrombocytopenia.

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A nurse is caring for a client who is at 36 weeks of gestation and is undergoing a nonstress test (NST). The test is nonreactive. Which of the following interventions should the nurse suggest based on the findings?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting?

Correct Answer is C

Explanation

A nurse is collecting data from a client who has thrombocytopenia. The nurse should identify that which of the following findings increases the client's risk for injury?

Correct Answer is C

Explanation

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