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A nurse manager on a labor and delivery unit is discussing care of clients who have vaginal bleeding due to placenta previa with a newly licensed nurse. Which of the following statements should the nurse manager make?

"Administer corticosteroids if the client is at more than 34 weeks of gestation."

"Initiate continuous monitoring of the FHR and uterine contractions."

"Administer terbutaline subcutaneously if the client experiences uterine atony."

"Perform a vaginal exam to determine cervical dilation."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Administering corticosteroids is relevant for clients at risk of preterm labor, not specifically for placenta previa.

Choice B rationale:

Placenta previa can lead to bleeding and potential fetal distress. Continuous monitoring of fetal heart rate (FHR) and uterine contractions is essential to promptly identify any signs of distress.

Choice C rationale:

Terbutaline is a tocolytic medication used to suppress uterine contractions, and it's not relevant for managing uterine atony associated with placenta previa.

Choice D rationale:

Performing a vaginal exam can further increase the risk of bleeding in cases of placenta previa and is generally contraindicated due to the risk of disturbing the placental site.

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Correct Answer is C

Explanation

Choice A rationale:

Palliative care is not limited to acute care settings and can be provided in various healthcare settings.

Choice B rationale:

While palliative care aims to improve overall well-being, it does not provide financial assistance.

Choice C rationale:

Palliative care focuses on providing relief from symptoms and improving the quality of life for individuals with serious illnesses, regardless of whether they are receiving curative treatments.

Choice D rationale:

Palliative care can be provided alongside curative treatments to address symptoms and enhance quality of life.

A. Provide rest breaks between nursing care activities. B. Notify the provider of a systolic BP higher than 180 mm Hg. C. Administer aspirin 650 mg every 6 hr for a headache. D. Keep the client's head in a midline neutral position. E. Monitor the client's vital signs every 4 hr

Correct Answer is ["A","B","D","E"]

Explanation

A. Providing rest breaks between nursing care activities is essential to prevent fatigue and allow for recovery, as stroke patients often have reduced endurance and energy.

B. Notifying the provider of a systolic blood pressure higher than 180 mm Hg is crucial because hypertension can exacerbate brain injury following a stroke and increase the risk of hemorrhagic transformation.

C. Administering aspirin 650 mg every 6 hours for a headache is not recommended without a physician's order, especially post-stroke, as it can increase the risk of bleeding.

D. Keeping the client's head in a midline neutral position helps to promote venous drainage and decrease intracranial pressure, which is beneficial in the management of a stroke patient.

E. Monitoring the client's vital signs every 4 hours is important for detecting any changes in the patient's condition that may indicate complications or the need for medical intervention.

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A nurse manager on a labor and delivery unit is discussing care of clients who have vaginal bleeding due to placenta previa with a newly licensed nurse. Which of the following statements should the nurse manager make?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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