Final Exam Practice B

A nurse is preparing to administer azithromycin to a client who is at 16 weeks gestation and has a positive chlamydia culture. The prescription states "administer azithromycin 1 g orally now." Available is 250 mg tablets. How many tablets should the nurse administer?

4

A nurse is caring for a newborn who is undergoing phototherapy to treat hyperbilirubinemia. Which of the following actions should the nurse take? A. cover the newborn's eyes while under the phototherapy light B. keep the newborn in a shirt while under the phototherapy light C. apply a light moisturizing lotion to the newborn's skin D. turn and reposition the newborn every 4 hr while undergoing phototherapy.

A. cover the newborn's eyes while under the phototherapy light

A nurse in the antepartum clinic is assessing a client's adaptation to pregnancy. The client states that she is "happy one minute and crying the next". The nurse should interpret the client's statement as an indication of which of the following? A. emotional lability B. focusing phase C. cognitive restructuring D. Couvade syndrome

A. emotional lability

A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider? A. swelling of the face B. varicose veins in the calves C. nonpitting 1+ ankle edema D. hyperpigmentation of the cheeks

A. swelling of the face

A school nurse is providing teaching to an adolescent about levonorgestrel contraception. Which of the following information should the nurse include in the teaching? A. you should take the medication within 72 hours following unprotected sexual intercourse B. you should avoid taking this medication if you are on an oral contraceptive C. if you don't start your period within 5 days of taking this medication, you will need a pregnancy test D. one dose of this medication will prevent you from becoming pregnant for 14 days after taking it.

A. you should take the medication within 72 hours following unprotected sexual intercourse

A nurse is performing a vaginal examination on a client who is in labor and observes the umbilical cord protruding from the vagina. After calling for assistance, which of the following actions should the nurse take next? A. place a rolled towel beneath one of the client's hips. B. apply internal upward pressure to the presenting part using two gloved fingers C. administer oxygen to the client via a nonrebreather mask at 10L/min D. increase the IV infusion rate

B. Apply internal upward pressure to the presenting part using two gloved fingers.

A nurse on an antepartum unit is caring for four clients. Which of the following clients should the nurse identify as the priority? A. a client who has gestational diabetes and a fasting blood glucose level of 120 mg/dL B. a client who is at 34 weeks of gestation and reports epigastric pain C. a client who is at 28 weeks of gestation and has an Hgb of 10.4 g/dL D. a client who is at 39 weeks of gestation and reports urinary frequency and dysuria

B. a client who is at 34 weeks of gestation and reports epigastric pain

A nurse is caring for a client who is at 22 weeks of gestation and reports concern about the blotchy hyperpigmentation on her forehead. Which of the following actions should the nurse take? A. tell the client to follow up with a dermatologist B. explain to the client this is an expected occurrence C. instruct the client to increase her intake of vitamin D D. inform the client she might have an allergy to her skin care products.

B. explain to the client this is an expected occurrence

A nurse is providing teaching about family planning to a client who has a new prescription for a diaphragm. Which of the following statements should the nurse include in the teaching? A. you should replace the diaphragm every 5 years B. you should leave the diaphragm in place for at least 6 hours after intercourse. C. you should use an oil based product as a lubricant when inserting the diaphragm D. you should insert the diaphragm when your bladder is full

B. you should leave the diaphragm in place for at least 6 hours after intercourse.

A nurse is teaching a client who is in preterm labor about terbutaline. Which of the following statements by the client indicates an understanding of the teaching? A. I will get injections of the medication once daily until my labor stops B. my blood sugar may be low while I'm on this medication C. I will have blood tests because my potassium might decrease D. my blood pressure may increase while I'm on this medication.

C. i will have blood tests because my potassium might decrease

A nurse in a women's health clinic is providing teaching about nutritional intake to a client who is at 8 weeks of gestation. The nurse should instruct the client to increase her daily intake of which of the following nutrients? A. calcium B. vitamin E C. Iron D. Vitamin D

C. Iron

A nurse is teaching a client who is 36 weeks of gestation and has a prescription for a nonstress test. Which of the following statements should the nurse include in the teaching? A. You will receive IV fluids prior to this test B. The procedure will take approximately 10 to 15 minutes C. You will be offered orange juice to drink during the test D. You will need to sign an informed consent form each time you have this test.

C. You will be offered orange juice to drink during the test

A nurse is assessing fetal heart tones for a client who is pregnant. The nurse has determined the fetal position as left occipital anterior. To which of the following areas of the client's abdomen should the nurse apply the ultrasound transducer to assess the point of maximum intensity of the fetal heart? A. Left upper quadrant B. Right upper quadrant C. Left lower quadrant D. Right lower quadrant

C. left lower quadrant

A nurse is assessing a newborn who is 12 hours old. Which of the following manifestations requires intervention by the nurse? A. acrocyanosis of the extremities B. murmur at the left sternal border C. substernal chest retractions while sleeping D. positive babinski reflex

C. substernal chest retractions while sleeping

A nurse is providing discharge teaching to a client who is postpartum. For which of the following manifestation should the nurse instruct the client to monitor and report to the provider? A. persistent abdominal striae B. temperature 100F C. unilateral breast pain D. brownish red discharge on day 5

C. unilateral breast pain

A nurse is planning care for a client who is 2 hr postpartum. Which of the following interventions should the nurse plan to implement during the taking-hold phase of postpartum behavioral adjustment. A. discuss contraceptive options with the client and her partner B. repeat information to ensure client understanding C. listen to the client and her partner as they reflect upon the birth experience D. demonstrate to the client how to perform a newborn bath.

D. demonstrate to the client how to perform a newborn bath

A nurse is caring for a client who is at 35 weeks of gestation and has placenta previa. Which of the following actions should the nurse take? A. perform a vaginal exam to determine cervical dilation every 2 hour B. instruct the client to ambulate in the hallway once every 4 hour C. administer betamethasone to the client via IM injection D. initiate continuous external fetal monitoring

D. initiate continuous external fetal monitoring

A nurse is assessing the newborn of a client who took a selective serotonin reuptake inhibitor during pregnancy. Which of the following manifestations should the nurse identify as an indication of withdrawal from an SSRI? A. large for gestational age B. hyperglycemia C. bradypnea D. vomiting

D. vomiting