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Question 1 of 5

A client has had amniocentesis. One of the tests performed on the amniotic fluid is a lecithin/sphingomyelin (L/S) ratio. The results show a ratio of 1:1. This is indicative of:

Correct Answer: A

Rationale: At about 30-32 weeks' gestation, the amounts of the surfactants, lecithin, and sphingomyelin become equal. As the fetal lungs mature, the concentration of lecithin begins to exceed that of sphingomyelin. At 35 weeks, the L/S ratio is 2:1. Respiratory distress syndrome is unlikely if birth occurs at this time.

Question 2 of 5

A client hospitalized for treatment of congestive heart failure is to be discharged with a prescription for Digitek (digoxin) 0.25 mg daily. Which of the following statements indicates that the client needs further teaching?

Correct Answer: B

Rationale: Taking digoxin with an antacid can decrease its absorption, reducing effectiveness, so this statement indicates a need for further teaching.

Question 3 of 5

A client with chronic pain is being treated with opioid administration via epidural route. Which medication would it be most important to have available due to a possible complication of this pain relief procedure?

Correct Answer: B

Rationale: Naloxone is an opioid antagonist used to reverse respiratory depression, a potential complication of epidural opioid administration. Ketorolac (
A) is an NSAID, Diphenhydramine (
C) is an antihistamine, and Promethazine (
D) is an antiemetic, none of which address opioid overdose.

Question 4 of 5

A six-month-old infant has been admitted to the emergency room with febrile seizures. In the teaching of the parents, the nurse states that:

Correct Answer: C

Rationale: The temperature elevation related to febrile seizures generally exceeds 101°F, and seizures occur during the temperature rise rather than after a prolonged elevation. Febrile seizures may recur and are more likely to do so when the first seizure occurs in the 1st year of life. There is little risk of neurological deficit, mental retardation, or altered behavior secondary to febrile seizures. Febrile seizures are associated with disease of the central nervous system.

Question 5 of 5

The nurse is caring for a client with a history of ankylosing spondylitis. The nurse should expect the client to have:

Correct Answer: A

Rationale: Ankylosing spondylitis causes chronic inflammation of the spine, leading to spinal stiffness, especially in the morning.

Similar Questions

A 27-year-old primigravida stated that she got up from the chair to fix dinner and bright red blood was running down her legs. She denies any pain previously or currently. The client is very concerned about whether her baby will be all right. Her vital signs include P 120 bpm, respirations 26 breaths/min, BP 104/58 mm Hg, temperature 98.2_F, and fetal heart rate 146 bpm. Laboratory findings revealed hemoglobin 9.0 g/dL, hematocrit 26%, and coagulation studies within normal range. On admission, the peripad she wore was noted to be half saturated with bright red blood. A medical diagnosis of placenta previa is made. The priority nursing diagnosis for this client would be:
A client with a history of rheumatoid arthritis is admitted with complaints of joint swelling. The nurse should give priority to:
During an intake assessment, the nurse asks the client if he has an advanced directive. The reason for asking the client this question is:
A client with a history of endometriosis is admitted with complaints of pelvic pain. The nurse should expect the client to have:
The nurse is caring for a client with a history of angina. Which medication should the nurse anticipate being prescribed for acute chest pain?

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