A nurse is measuring the fundal height of a client who is at 36 weeks of gestation. The client suddenly reports nausea. Which of the following actions should the nurse take?
Administer propranolol IV to the client
Position the client on her side.
Ask the client to increase her daily calcium intake.
Use Leopold maneuvers to determine the fetal position.
The Correct Answer is B
A. Administer propranolol IV to the client: Propranolol is a beta-blocker used to treat hypertension and certain cardiac conditions. It is not indicated for sudden nausea during pregnancy and could be harmful if administered without cause.
B. Position the client on her side: At 36 weeks, the gravid uterus can compress the inferior vena cava when the client lies flat, reducing venous return and causing supine hypotensive syndrome, which often presents as nausea. Turning the client to her side relieves pressure and restores circulation.
C. Ask the client to increase her daily calcium intake: Calcium is important during pregnancy, especially for bone health, but increasing intake is not an acute intervention for nausea caused by positional blood flow issues.
D. Use Leopold maneuvers to determine the fetal position: Leopold maneuvers assess fetal position but do not address the client’s immediate symptom of nausea, which may indicate compromised circulation from lying supine. Position change is the priority action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2"]
Explanation
Ensure the units of the desired dose and available dose are the same.
- Convert milligrams (mg) to micrograms (mcg).
Available dose = 0.025 mg/tablet
1mg=1000mcg
Availabledoseinmcg/tablet =0.025mg/tablet×1000mcg/mg
=25mcg/tablet
Desired dose = 50 mcg.
- Calculate the number of tablets to administer.
Number of tablets = Desired dose (mcg) / Available dose (mcg/tablet)
= 50 mcg / 25 mcg/tablet
= 2 tablets.
Correct Answer is B
Explanation
A. Tie a tourniquet around the leg distal to the wound: A tourniquet should be placed proximal to the bleeding site to compress major vessels. Placing it distal is ineffective and does not control hemorrhage.
B. Apply direct pressure to the wound with thick dressing material: Applying firm, direct pressure is the most effective initial intervention for external bleeding. It helps reduce blood loss by compressing vessels and encouraging clot formation.
C. Irrigate the wound with sterile water: Irrigating an actively bleeding wound is inappropriate as it may disrupt forming clots and worsen bleeding. Wound cleaning should be done after bleeding is controlled.
D. Apply a transparent dressing to the wound: Transparent dressings are used for clean, non-bleeding wounds. They do not provide the compression or absorption needed for active hemorrhage.
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