Pharm NCLEX PN questions #2, (8/14/2016)

The nurse is reading the health care provider's documentation regarding a pregnant client and notes that the health care provider has documented that the client has an android pelvic shape. Which terms apply to an android pelvis? Select all that apply

Narrow wedge shape, and is Unfavorable for a vaginal birth

The nurse is collecting data from a client and is reviewing the client's health record to determine the risk for preterm labor. Which findings would place the client at risk for preterm labor?

One risk factor for preterm labor is the presence of a genitourinary infection

A client with skeletal traction applied to the right leg complains to the nurse about severe right leg pain in spite of being medicated with a prescribed analgesic. Which action should the nurse take?

A client who complains of severe pain may need realignment or may have traction weights prescribed that are too heavy. The nurse realigns the client, and, if ineffective, then notifies the registered nurse, who then calls the health care provider (HCP).

The nurse is assigned to assist with caring for a client after cardiac catheterization. The nurse should plan to maintain bed rest for this client in what position

After cardiac catheterization, the extremity where the catheter was inserted is kept straight for the prescribed time period. The client may turn from side to side. The client is put into a supine position and the head of the bed is elivated 30 degrees to keep the affected leg straight at the groin and prevent arterial occlusion.

A hospitalized client is newly diagnosed with diabetes mellitus. The client must take both NPH and Regular insulin for glucose control. The nurse develops a teaching plan to help the client meet which outcome as a first step in managing the disease?

As a first step, the client learns to adjust medication (insulin) according to blood glucose results as prescribed by the health care provider.

A postpartum nurse obtains the vital signs on a mother who delivered a healthy newborn 2 hours ago. The mother's temperature is 100° F (38° C). What is the first nursing action?

During the first 24 hours following delivery, the mother's temperature may rise to 100° F (38° C) as a result of the dehydrating effects of labor. Therefore, the first nursing action is to encourage fluid intake

The nurse assists the nurse-midwife in examining the client. The midwife documents the following data: cervix 80% effaced and 3 cm dilated, vertex presentation minus (-) 2 station, membranes ruptured. The nurse anticipates that the midwife will prescribe which activity for the client?

Complete bed rest

The platypelloid pelvis is .

flattened with a wide, short, oval shape and is also an unfavorable shape for a vaginal birth

An anthropoid pelvis is

long, narrow, and oval. It is not as favorable of a shape for a vaginal birth as the gynecoid pelvis; however, it is a more favorable pelvic shape than the platypelloid or android.

A gynecoid

pelvic shape is rounded with a wide pubic arch and is the most favorable shape for a vaginal birth.