NCLEX

The nursing instructor asks a nursing student to describe the procedure for administering erythromycin ointment to the eyes of a neonate. The instructor determines that the student needs to research this procedure further if the student makes which statement?

"I will flush the eyes after instilling the ointment."

A client diagnosed with severe preeclampsia is on magnesium sulfate by continuous intravenous infusion. Which finding suggests to the nurse that the next dose of this medication should be held?

Absence of deep tendon reflexes

The nurse is preparing to administer beractant to a premature infant who has respiratory distress syndrome. The nurse plans to administer the medication by which route?

Intratracheal

Rho(D) immune globulin (RhoGAM) is prescribed for a woman after the delivery of a newborn infant, and the nurse provides information to the woman about the purpose of the medication. The nurse determines that the woman understands the purpose of the medication if the woman states that it will protect her next baby from which condition?

Being affected by Rh incompatibility

The nurse is assisting in preparing a plan of care for a client who will be receiving a calcium antagonist to prevent preterm delivery. Which action does the nurse include in the plan of care for the client to detect a side effect of the medication?

Monitor for increases in maternal and fetal heart rates. - Monitor for fluid volume deficit. - Monitor for pale and dry skin. - Monitor for hypertension.

Epidural analgesia is administered to a woman for pain relief after a cesarean birth. The nurse assigned to care for the woman ensures that which medication is readily available if respiratory depression occurs?

Naloxone (Narcan)

The nurse is caring for a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should discontinue the oxytocin infusion and notify the registered nurse if which is noted on data collection of the client?

Uterine hyperstimulation

Methylergonovine is prescribed for a client with postpartum hemorrhage caused by uterine atony. Before administering the medication the nurse checks which important client parameter?

Blood pressure

Methylergonovine is prescribed for a woman to treat postpartum hemorrhage. Before the administration of methylergonovine, the nurse should check which priority item?

Blood pressure

A woman with preeclampsia is receiving magnesium sulfate. Which indicates to the nurse that the magnesium sulfate therapy is effective?

Seizures do not occur.

A client with severe preeclampsia is receiving magnesium sulfate by intravenous infusion. The nurse reviews the laboratory results, knowing that which value is a therapeutic magnesium level?

Serum magnesium level of 6 mEq/L (3 mmol/L) Urine output of 20 mL in an hour Respirations of 10 breaths/minute

Magnesium sulfate is prescribed for a client with severe preeclampsia. Which statement by the student nurse supports the need for further teaching regarding the action of this medication?

"It increases acetylcholine and blocks neuromuscular transmission."

The nursing student is assigned to care for a 30-week gestational woman who is admitted to the maternity unit in preterm labor. Betamethasone is prescribed to be administered to the mother. The nursing instructor asks the student about the purpose of the medication. Which statement by the student indicates an understanding of the purpose of this medication?

"This medication will promote fetal lung maturity."

The nurse is assisting in monitoring a preterm infant in the neonatal intensive care unit who received surfactant (Infasurf). The nurse monitors for which desired therapeutic outcome of this medication?

- Decreased tachypnea and nasal flaring - Acrocyanosis is the bluing of hands and feet due to poor circulation. - Improved cardiac output - Increased body temperature

A 31-week preterm labor client dilated to 4 centimeters has been started on magnesium sulfate. Her contractions have stopped. If the client's labor can be inhibited for the next 48 hours, which medication does the nurse anticipate will be prescribed?

Betamethasone - Nalbuphine - Rho(D) immune globulin - Dinoprostone vaginal insert

The nurse is monitoring a preterm labor client who is receiving magnesium sulfate intravenously. The nurse should monitor for which adverse effects of this medication? Select all that apply.

Flushing Depressed Respirations Extreme Muscle Weakness

The nurse is caring for a client in preterm labor who is receiving terbutaline sulfate to stop uterine activity. During this medication therapy, the nurse implements nursing interventions to monitor which specific body organs that can be affected by this medication?

Heart and lungs

The postpartum nurse is caring for a client following a cesarean birth who received epidural analgesia. The client is lethargic and is exhibiting signs of respiratory depression. The nurse suspects that the respiratory depression is caused by the epidural analgesia. The nurse notifies the registered nurse immediately and prepares the client for the administration of which medication?

Naloxone (Narcan)

Methylergonovine is prescribed for a client with postpartum hemorrhage. Before administering the medication, the nurse should question administration of the medication if which condition is documented in the client's medical history?

Peripheral vascular disease

The nurse in the delivery room is caring for a newborn delivered 10 minutes ago. The nurse assists to prepare which medications that will be prescribed to be given within the first hour of life? Select all that apply.

Phytonadione (vitamin K) Erythromycin eye drops

A pregnant client is receiving magnesium sulfate for the management of preeclampsia. The nurse determines that the client is experiencing toxicity from the medication if which is noted on data collection? Select all that apply.

Respirations of 10 breaths per minute Deep tendon reflexes at 2+