A nurse is teaching a client who is pregnant about nonstress testing. Which of the following statements by the client indicates an understanding of the teaching?
"During this test, I must not eat or drink anything."
"During this test, I will push a button if my baby moves."
"I will get oxytocin during this test."
"This test will tell me if my baby has a genetic problem."
The Correct Answer is B
A. "During this test, I must not eat or drink anything." – Incorrect. There are no dietary restrictions before a nonstress test (NST). In fact, eating may stimulate fetal movement.
B. "During this test, I will push a button if my baby moves." – Correct. The client is asked to press a button when fetal movement is felt to correlate with fetal heart rate accelerations.
C. "I will get oxytocin during this test." – Incorrect. Oxytocin is used in a contraction stress test (CST), not an NST.
D. "This test will tell me if my baby has a genetic problem." – Incorrect. The NST evaluates fetal well-being and oxygenation, not genetic conditions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["2250"]
Explanation
To calculate the total volume of IV fluid intake, we need to calculate the volume administered during each time period and then sum them up.
First 3 hours: 500 mL/hr * 3 hr = 1500 mL
Next 3 hours: 200 mL/hr * 3 hr = 600 mL
Last 2 hours: 75 mL/hr * 2 hr = 150 mL
Now, we add these volumes together:
1500 mL + 600 mL + 150 mL = 2250 mL
Therefore, the total volume the nurse should document for the client's IV fluid intake is 2250 mL.
Correct Answer is A
Explanation
A. This is the correct answer. Gentle hand exercises, such as ball squeezing, help promote circulation and prevent lymphedema in the affected arm.
B. Avoiding use of the affected arm for eating is incorrect. Gradual movement is encouraged to prevent stiffness and maintain mobility.
C. Using deodorant under the affected arm is not recommended until healing is complete, as it may cause irritation or infection.
D. A bra with wire support should be avoided initially due to discomfort and potential interference with healing.
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