During a nonstress test of a 38-week client, the practical nurse (PN) observes the fetal heart rate increases 15 beats above baseline lasting 10 seconds twice during a 20-minute tracing. Which finding should the PN document in the electronic medical record?

Acceleration.

Nonreactive pattern.

Fetal movement.

Positive tracing.

Answer and Explanation

The Correct Answer is A

A. Acceleration refers to a temporary increase in the fetal heart rate of at least 15 beats per minute above the baseline for at least 10 seconds. The observation of the fetal heart rate increasing 15 beats above baseline twice during the test indicates that accelerations are present, which is a reassuring sign of fetal well-being.
B. A nonreactive pattern would indicate that the test did not meet the criteria for accelerations or fetal heart rate reactivity, which is not the case here as the fetal heart rate did exhibit accelerations.
C. Fetal movement could contribute to accelerations but is not the term used to describe the findings of the test itself. The specific observation made was an increase in fetal heart rate, which is classified as an acceleration.
D. A positive tracing indicates that the nonstress test met criteria for fetal well-being, typically with at least two accelerations, but the correct term for the specific observation here is acceleration rather than describing the overall result.

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Correct Answer is ["1.5"]

Explanation

- Determine the total milligrams needed: The prescription is for 600 mg.

- Identify the concentration of the medication available: The vial is labeled as 400 mg/mL.

- Calculate the volume required to provide the prescribed dose: Divide the total milligrams needed by the concentration.

- Perform the calculation: 600/400= 1.5

Answer = 1.5 ml

A. Slide hands under the client's lumbar area and knees. B. Turn the client away from the PN using a turning sheet. C. Put the bed rails up on the opposite side of the bed. D. Grasp the client's hand to pull the client towards the PN.

Correct Answer is B

Explanation

A. Sliding hands under the lumbar area and knees can cause strain on the PN’s back and is not the safest method for turning a dependent client.
B. Using a turning sheet to turn the client away from the PN is the safest method for moving a dependent client, as it uses a proper technique that minimizes injury risk for both the client and the PN.
C. Raising bed rails on the opposite side may increase the risk of injury or falls, and is not directly related to the safe turning of the client.
D. Grasping the client's hand to pull them is unsafe and could cause injury or discomfort to both the client and the PN, especially when turning a dependent client.

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During a nonstress test of a 38-week client, the practical nurse (PN) observes the fetal heart rate increases 15 beats above baseline lasting 10 seconds twice during a 20-minute tracing. Which finding should the PN document in the electronic medical record?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["1.5"]

Explanation

The practical nurse (PN) is turning a dependent bedridden client without assistance. Which action will best ensure the client's safety?

Correct Answer is B

Explanation

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Exhibits The practical nurse (PN) performs a focused assessment and documents it in the computer. Select what items require immediate follow-up by the PN. Select all that apply.

In assessing the apical heart rate of an adult, in what order should the practical nurse (PN) perform the needed tasks?

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