The nurse continues to care for the client.

Which of the following actions should the nurse take? Select all that apply.

Obtain a provider order for vaginal/anal culture.

Obtain a provider prescription for antibiotics.

Obtain a provider prescription for ibuprofen 600 mg every 6 hr for mild to moderate pain.

Obtain a provider prescription for phenazopyridine.

Obtain a provider order for a urine culture.

Answer and Explanation

Correct Answer : B,D,E

A. Obtain a provider order for vaginal/anal culture: A vaginal or anal culture is not indicated at this time because the client’s symptoms—dysuria, urinary frequency, and positive leukocyte esterase—are consistent with a urinary tract infection rather than a sexually transmitted infection or perianal infection.

B. Obtain a provider prescription for antibiotics: The client demonstrates signs of a urinary tract infection, including dysuria, positive leukocyte esterase, elevated WBC count, and cloudy urine. Prompt initiation of antibiotics is important in pregnancy to prevent complications such as pyelonephritis and preterm labor.

C. Obtain a provider prescription for ibuprofen 600 mg every 6 hr for mild to moderate pain: Ibuprofen is generally avoided during the third trimester because it can cause premature closure of the fetal ductus arteriosus and oligohydramnios. Alternative analgesics that are safe in pregnancy should be used instead.

D. Obtain a provider prescription for phenazopyridine: Phenazopyridine is a urinary analgesic that can help relieve dysuria and urinary discomfort while the client awaits antibiotic therapy. It does not treat the infection itself but improves client comfort.

E. Obtain a provider order for a urine culture: A urine culture is indicated to confirm the presence of infection and identify the causative organism. This ensures that antibiotic therapy can be tailored appropriately, which is especially important in pregnancy to reduce maternal and fetal complications.

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

Explanation

Rationale:

• Obtain daily weights: Daily weights are used to monitor fluid balance in conditions like preeclampsia or heart failure. In this acute preterm labor scenario, the priority is monitoring fetal well-being and uterine activity, not long-term fluid shifts.

• Administer terbutaline: Terbutaline is a tocolytic medication used to suppress preterm labor by relaxing uterine smooth muscle. Given the client’s regular, strong contractions at 33 weeks with cervical changes, terbutaline may be prescribed to delay labor and allow fetal maturation.

• Administer oxytocin: Oxytocin stimulates uterine contractions and is used to induce or augment labor. In a client experiencing preterm labor at 33 weeks, oxytocin is contraindicated because it could worsen labor progression and increase risk of preterm birth.

• Administer betamethasone: Betamethasone is a corticosteroid administered to accelerate fetal lung maturity when preterm birth is imminent. Since the client is 33 weeks gestation and showing signs of preterm labor, administration is anticipated to reduce neonatal respiratory complications.

• Maintain modified bed rest with bathroom privileges: Modified bed rest can help reduce uterine stimulation, conserve energy, and support uteroplacental perfusion in clients experiencing preterm labor. Limiting physical activity is a standard intervention for preterm labor management.

A. "This type of seizure can be mistaken for daydreaming." B. "This type of seizure lasts 30 to 60 seconds," C. "The child usually has an aura prior to onset." D. "This type of seizure has a gradual onset."

Correct Answer is A

Explanation

A. "This type of seizure can be mistaken for daydreaming.": Absence seizures are brief, sudden episodes of impaired consciousness, often with staring and subtle motor activity. Because these episodes are very short and the child resumes normal activity immediately, they can easily be misinterpreted as inattentiveness or daydreaming.

B. "This type of seizure lasts 30 to 60 seconds.": Absence seizures are typically very brief, usually lasting 5 to 10 seconds, rarely up to 15 seconds. A duration of 30 to 60 seconds is longer than expected and more characteristic of other seizure types.

C. "The child usually has an aura prior to onset.": Absence seizures do not usually have a preceding aura. Auras are more commonly associated with focal or partial seizures, not generalized absence seizures.

D. "This type of seizure has a gradual onset.": Absence seizures have a sudden onset and end abruptly. There is no gradual buildup of symptoms, which helps differentiate them from other neurological or behavioral events.

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The nurse continues to care for the client. Which of the following actions should the nurse take? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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

Explanation

A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?

Correct Answer is A

Explanation

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The nurse continues to care for the client.

Which of the following actions should the nurse take? Select all that apply.