For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.

Administer oxytocin,

Administer terbutaline.

Administer betamethasone.

Maintain bed rest with bathroom privileges.

Limit fluid intake to 3,000 mL/day.

Place client in supine position.

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"B"}}

1.   Administer oxytocin
Unanticipated: Oxytocin is typically used to induce labor or augment labor by stimulating uterine contractions. Since the client is already experiencing preterm labor, administering oxytocin could exacerbate contractions, leading to a more rapid progression of labor, which is not desired at 33 weeks gestation.
2.   Administer terbutaline
Anticipated: Terbutaline is a tocolytic agent used to stop preterm labor by relaxing the uterus and inhibiting contractions. Given that the client is experiencing preterm labor (with regular contractions), this medication would be used to attempt to stop labor and delay delivery, which is an appropriate action for a 33-week pregnant client with early labor signs.

3.   Administer betamethasone
Anticipated: Betamethasone is a corticosteroid that promotes lung maturity in preterm infants. At 33 weeks gestation, it is common to administer betamethasone if preterm labor is suspected, as it enhances fetal lung development and reduces the risk of respiratory distress syndrome in the newborn.
4.   Maintain bed rest with bathroom privileges
Anticipated: Bed rest is often recommended for clients with preterm labor to reduce uterine activity and promote fetal well-being. While some studies suggest limited benefits, it is still a common non- pharmacological approach to manage preterm labor and reduce the risk of premature delivery.
5.   Limit fluid intake to 3,000 mL/day
Unanticipated: There is no indication that the client is at risk for fluid overload or hyponatremia (which would require fluid restriction). In fact, hydration is often encouraged in preterm labor to prevent dehydration, which can worsen uterine contractions.
6.   Place client in supine position
Unanticipated: Supine position is not recommended during pregnancy, particularly after the first trimester, due to the risk of supine hypotensive syndrome (compression of the vena cava, leading to reduced blood flow to the uterus and fetus). In fact, lateral positioning (e.g., left side-lying) is recommended for optimal circulation.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. A client who is ambulatory and receiving oxygen should be evacuated first because they are mobile and their oxygen needs may put them at increased risk in a fire.
B. A client who is bedridden and wears a hearing aid may need more assistance but does not have immediate life-threatening needs during evacuation.
C. A client with a fracture in balance suspension traction requires careful handling but can be evacuated after those at greater risk.
D. A client who uses a wheelchair and is confused may need help but is not at the highest risk for immediate harm during a fire evacuation.

A. "A nurse will draw blood from your baby's inner elbow." B. "Your baby will be given 2 ounces of water to drink prior to the test." C. "This test should be performed after your baby is 24 hours old." D. "This test will be repeated when your baby is 2 months old."

Correct Answer is C

Explanation

A. Blood is typically drawn from the heel, not the inner elbow, for newborn genetic screening.
B. There is no need to give water before the test; it is a simple blood draw.
C. The newborn screening test should be performed after 24 hours of age, as this ensures enough time for metabolic disorders to manifest in the blood.
D. This test is generally performed once, but it may be repeated later if there are concerns or abnormal results.

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For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?

Correct Answer is A

Explanation

A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse in an acute care mental health facility is participating in a medication education group. The leader of the group uses a laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session?

A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify as being complete?

A nurse is planning to teach a client about taking prednisone. Which of the following instructions should the nurse include?

A nurse is receiving change-of-shift report for a group of clients. Which of the following clients should the nurse plan to assess first?

A nurse in an emergency department is caring for a client following a motor vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse expect?

A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?

A nurse is caring for a client. Exhibits For each assessment finding, click to specify if the finding is consistent with ulcerative colitis, diverticulitis, or Crohn's disease. Each finding may support more than 1 disease process.

A nurse is caring for a client who has a spinal cord injury. Exhibits For each potential nursing action, click to specify if the action is anticipated or contraindicated for the client.