The practical nurse (PN) is preparing a client at 22-weeks gestation for an amniocentesis. Which instruction should the PN give to this client?

Take an enema the morning of the procedure.

Empty your urinary bladder prior to the procedure.

Refrain from sexual intercourse for 48 hours prior to the procedure.

Shower with an antibacterial soap the night before the procedure.

Answer and Explanation

The Correct Answer is B

Amniocentesis is a prenatal test that can diagnose genetic disorders and other health issues in a fetus. A provider uses a needle to remove a small amount of amniotic ﬂuid from inside your uterus, and then a lab tests the sample for specific conditions². It is important to empty your urinary bladder prior to the procedure ².

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Correct Answer is B

Explanation

This finding may indicate a potential cardiac issue that needs immediate medical atention. Projectile vomiting and excessive hunger in a young infant may be signs of pyloric stenosis, a condition in which the muscle between the stomach and small intestine thickens, making it difficult for food to pass through.

Hyperactive gastric sounds may be present with vomiting, but it is not an immediate concern.

Crying without tears may be a sign of dehydration, but it is not an immediate concern.

Underweight for age is a concern but it is not a finding that requires immediate intervention.

A. Feed one ounce of formula to correct hypoglycemia. B. Administer a prescribed analgesia for pain. C. Provide additional blankets to increase body temperature. D. Increase IV infusion rate for rehydration.

Correct Answer is B

Explanation

The infant's symptoms are consistent with postoperative pain, which can be expected following a surgical procedure like pyloromyotomy. The PN should administer the prescribed analgesic medication to relieve the infant's discomfort and pain. It is crucial to manage pain appropriately in infants to promote healing, improve feeding tolerance, and prevent complications.

Option A is not appropriate as the infant's symptoms are not indicative of hypoglycemia.

Option C is not appropriate as the infant's symptoms do not indicate hypothermia.

Option D is not appropriate as the infant's symptoms do not indicate dehydration.

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The practical nurse (PN) is preparing a client at 22-weeks gestation for an amniocentesis. Which instruction should the PN give to this client?

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Naxlex Comprehensive Predictor Exams

A 3-week-old infant is admited to the pediatric unit with vomiting and dehydration. The mother describes the infant as having projectile vomiting after eating. She also tells the practical nurse (PN) that the baby is always hungry. Which finding warrants immediate intervention by the PN?

Correct Answer is B

Explanation

The practical nurse (PN) caring for a 3-month-old boy one day after a pyloromyotomy notices that the infant is restless, is exhibiting facial grimaces, and is drawing his knees to his chest. What action should the PN take?

Correct Answer is B

Explanation

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