A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Bulging anterior fontanel

Decreased urine specific gravity

Bounding pulses

Decreased skin turgor

Answer and Explanation

The Correct Answer is D

A.   A bulging anterior fontanel suggests increased intracranial pressure, not dehydration.
B.   Decreased urine specific gravity can occur with hydration or dilute urine, and it is not specific to dehydration.
C.   Bounding pulses may be present in various conditions but are not a direct sign of dehydration.
D.   Decreased skin turgor is a classic sign of dehydration in both infants and adults. It indicates a deficit of body fluids.

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Correct Answer is D

Explanation

A. Nausea is a common side effect of terbutaline, but it is not typically a cause for concern. It may be managed with measures like taking the medication with food.
B. Tremors are a known side effect of terbutaline. While they may be uncomfortable for the client, they are an expected side effect and not necessarily indicative of a problem requiring immediate intervention.
C. Dizziness can occur as a side effect of terbutaline. It is important to monitor the client for this, but it is not typically a severe side effect that requires immediate reporting to the provider.
D. Crackles (also known as rales) in the lungs suggest the possibility of fluid accumulation, which could be a sign of pulmonary edema. This is a serious concern and should be reported to the provider promptly, as it may require a change in treatment or further evaluation.

A. TENS eliminates pain during a contraction. B. TENS is contraindicated for clients who have gestational diabetes. C. TENS intensity is manually increased during a contraction. D. TENS is most useful during the third stage of labor.

Correct Answer is C

Explanation

A. TENS provides pain relief but does not eliminate pain completely during contractions.
B. TENS is not contraindicated for clients with gestational diabetes unless there are specific medical concerns related to its use.
C. TENS intensity should be increased during contractions to provide additional pain relief.
D. TENS can be useful throughout labor, not just during the third stage.

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A nurse is collecting data from a newborn who is receiving phototherapy. Which of the following findings is an indication of dehydration?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a client who is receiving terbutaline to treat preterm labor. Which of the following findings should the nurse report to the provider? Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a client about the use of a transcutaneous electrical nerve stimulation (TENS) device for back pain during labor. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a client about obtaining a clean catch urine specimen. Identify the sequence of steps the nurse should instruct the client to follow. (Move the steps byplacing them in the order of performance. Use all the steps.)

A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

A nurse is collecting data from a client who is receiving epidural anesthesia. Which of the following findings indicates an adverse effect of this method of pain management?

A nurse is collecting data from a client who is postpartum and has received methylergonovine. Which of the following findings should indicate to the nurse that the medication was effective?

A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

A nurse is reviewing the laboratory data for a client who is at her first prenatal visit. The client is at 10 weeks of gestation. Which of the following manifestations should the nurse report to the provider?

A nurse in a prenatal clinic is reinforcing teaching with a client about expected physiological changes during pregnancy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is caring for a client who is at 10 weeks of gestation and reports experiencing frequent nausea. Which of the following instructions should the nurse give the client to help control nausea?