A nurse is caring for a client who is at 36 weeks of gestation and reports a headache.

Which of the following actions should the nurse take? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.)

Graphic Results Temperature 37° C (98.6° F) Heart rate 88/min Respiratory rate 18/min

Blood pressure 144/94 mm Hg

Upper abdominal pain rating 4/10 on a scale from 0 to 10

Perform a contraction stress test.

Prepare for delivery of the fetus.

Increase the client's dietary salt intake to 2 g/day.

Administer ferrous sulfate to the client.

Upper abdominal pain rating 4/10 on a scale from 0 to 10

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A contraction stress test is not appropriate in this context and would not address the potential risks associated with the client's symptoms.

Choice B rationale:

The elevated blood pressure and upper abdominal pain suggest potential preeclampsia, a serious complication of pregnancy that can lead to significant maternal and fetal risks. Delivery may be indicated to prevent further complications.

Choice C rationale:

Increasing dietary salt intake is not recommended for managing elevated blood pressure in pregnancy.

Choice D rationale:

Administering ferrous sulfate is unrelated to the client's symptoms and concerns.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale:

Expressing feelings of guilt and survivor's guilt is a common aspect of processing traumatic experiences and can be an important step in healing.

Choice B rationale:

Rationale: This statement indicates that the client is acknowledging and discussing the flashbacks related to the traumatic event. Progression toward positive outcomes in posttraumatic stress disorder (PTSD) often involves recognizing and addressing distressing symptoms.

Choice C rationale:

The preference for independence may indicate resistance to seeking support, which can hinder progress in addressing and managing PTSD symptoms.

Choice D rationale:

Recognizing that the traumatic experience has affected the ability to trust others reflects insight into the impact of the trauma on relationships, which is a step toward positive outcomes.

A. Abdominal cramps B. Slurred speech C. Tachycardia D. Diaphoresis

Correct Answer is B

Explanation

Choice A rationale:

Abdominal cramps are not typically associated with opioid intoxication. Choice B rationale:

Opioid intoxication can cause symptoms such as slowed or slurred speech, drowsiness, and altered mental status.

Choice C rationale:

Opioid intoxication often leads to bradycardia (slower heart rate), not tachycardia (faster heart rate).

Choice D rationale:

Diaphoresis (excessive sweating) is a symptom of opioid withdrawal, not intoxication.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is facilitating a group session for clients who have posttraumatic stress disorder. Which of the following client statements indicates progression toward positive outcomes?

Correct Answer is B

Explanation

A nurse is assessing a client who is experiencing opioid intoxication. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is reviewing the laboratory results of a client who has HELLP syndrome. Which of the following findings should the nurse expect?

A nurse manager is developing a protocol to address incivility in the nursing unit. Which of the following actions should the nurse take first?

A nurse is teaching a young adult female client who has sickle cell anemia and a new prescription for hydroxyurea. Which of the following information should the nurse include in the teaching?

A nurse is teaching a client who has genital herpes. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is suspected to have developed sensitivity to latex. Which of the following interventions should the nurse plan to implement?

A nurse is reviewing the laboratory results of an older adult client who has inflammatory bowel disease and Crohn's disease. Which of the following laboratory results should the nurse expect?

A nurse is assessing a client who is experiencing postpartum hemorrhage. Which of the following findings should the nurse identify as an indication of excessive blood loss?

A nurse is providing education for a client who has a genital herpes infection. Which of the following statements should the nurse include in the teaching?