A nurse is teaching a client who is at 30 weeks of gestation and has coarctation of the aorta. Which of the following statements should the nurse include regarding this congenital heart defect?

"You will receive terbutaline if you experience preterm labor."

"You will be encouraged to receive epidural anesthesia during labor."

"You will be placed in a supine position during labor."

"You have an increased risk of developing preeclampsia."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Terbutaline is a medication used to inhibit uterine contractions and is not directly related to managing coarctation of the aorta.

Choice B rationale:

Coarctation of the aorta is a congenital heart defect characterized by narrowing of the aorta, which can lead to increased pressure and decreased blood flow to the lower part of the body. During labor, epidural anesthesia is often recommended for clients with coarctation of the aorta to reduce stress and pain, as well as to maintain stable blood pressure.

Choice C rationale:

Placing a client with coarctation of the aorta in a supine position during labor can worsen the obstruction of blood flow and is contraindicated. Left lateral positioning or other positions that enhance venous return are preferred.

Choice D rationale:

There is no established increased risk of preeclampsia in clients with coarctation of the aorta.

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Correct Answer is C

Explanation

Choice A rationale:

Restricting fluid intake is not the primary concern when taking lithium. It's more important to maintain a consistent level of sodium intake.

Choice B rationale:

Doubling the dose of lithium without medical supervision can lead to lithium toxicity, which can be life-threatening.

Choice C rationale:

Sodium levels can impact the effectiveness and safety of lithium. Consuming a moderate- sodium diet helps prevent sodium depletion or overload, which can affect lithium levels.

Choice D rationale:

Slurred speech is not indicative of low lithium levels. It's important to monitor for signs of lithium toxicity, which include tremors, confusion, and GI symptoms.

A. Monitor the client for hearing loss. B. Use contact precautions when caring for the client. C. Administer an antiviral medication to the client. D. Report the infection to the public health department.

Correct Answer is D

Explanation

Choice A rationale:

Monitoring for hearing loss is not a specific action for primary syphilis. Hearing loss can occur in later stages of syphilis.

Choice B rationale:

Contact precautions are not typically required for primary syphilis, as it is primarily transmitted through sexual contact.

Choice C rationale:

Antiviral medications are not used to treat syphilis. Antibiotics are the primary treatment.

Choice D rationale:

Syphilis is a sexually transmitted infection that is required to be reported to the public health department for tracking and control.

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A nurse is teaching a client who is at 30 weeks of gestation and has coarctation of the aorta. Which of the following statements should the nurse include regarding this congenital heart defect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is planning care for a client who has primary syphilis. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

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