The RN has received a hand-off report.
Which client does the RN need to see first?

The client having trouble breastfeeding.

The client who had a postpartum hemorrhage 3 hours ago.

The client complaining of pain of 5 out of 10 and requesting pain medication.

The client with a history of pre-eclampsia and now has a BP of 130/90.

Answer and Explanation

The Correct Answer is B

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Correct Answer is D

Explanation

Choice A rationale

Placing the newborn in a radiant warmer is appropriate for managing hypothermia but does not directly address the signs of diaphoresis, jitteriness, and lethargy, which are indicative of hypoglycemia.

Choice B rationale

Monitoring the newborn's blood pressure is not the primary action needed for signs of hypoglycemia. The immediate need is to check blood glucose levels and address any hypoglycemia.

Choice C rationale

Initiating phototherapy is a treatment for hyperbilirubinemia (jaundice) and is not related to the signs of diaphoresis, jitteriness, and lethargy seen in hypoglycemia.

Choice D rationale

Obtaining blood glucose by heel stick is the correct action as the signs of diaphoresis, jitteriness, and lethargy are indicative of hypoglycemia. Checking blood glucose levels will help in diagnosing and managing the condition.

Correct Answer is ["0.8"]

Explanation

Step 1 is 0.2 mg × 4 doses = 0.8 mg

The total amount the patient will receive in a 24-hour period is 0.8 mg.

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The RN has received a hand-off report.Which client does the RN need to see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn who exhibits signs of diaphoresis, jitteriness, and lethargy.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

The client has a physician's order for Methylergonovine (Methergine) 0.2 mg by mouth every 6 hours for 24 hours. The RN knows the reason for this order is to assist in controlling postpartum bleeding. What is the total amount the patient will receive in mg in a 24-hour period?

Correct Answer is ["0.8"]

Explanation

A nurse is assisting a client with breastfeeding.Which of the following reflexes will promote the newborn to latch?

A nurse is caring for an infant born at 40 weeks of gestation.Which of the following findings should the nurse expect?

The nurse present at the delivery is reporting to the nurse who will be caring for the infant who had thick meconium in the amniotic fluid.

A 25-year-old patient is considering receiving Depo-Provera 150 mg IM. Which points must the nurse include in her teaching related to this medication?

You are required to administer 3,800 units of Heparin sodium dose subcutaneously (SQ) to a mother. The pharmacy sends a 10,000 units in a 5ml vial. How many mls will the nurse administer?

A mother refused to allow her son to receive the phytonadione (Mephyton) injection at birth as was stated on her birth plan.Which of the following signs or symptoms might the nurse observe in the baby as a result?

The nurse calculates the 1-minute Apgar score of a neonate with the following characteristics to be: Heart rate 60; weak cry, partial flexion of extremities; weak suck; gray color.

The nurse develops a teaching plan for a 24-hour vaginal postpartum client with a firm fundus, scant lochia, and a 4th degree laceration.Her hemoglobin level is 10.0 gm/dl, and hematocrit is 30%. The mother is breastfeeding.Which medication would the nurse expect to be contraindicated?

The RN has received a hand-off report.
Which client does the RN need to see first?