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Question 1 of 5

Nimodipine (Nimotop) is ordered for the client with a ruptured cerebral aneurysm. What does the nurse recognize as a desired effect of this drug?

Correct Answer: A

Rationale: Nimodipine, a calcium channel blocker, prevents calcium influx into cells, reducing vasospasm post-aneurysm rupture. It doesn’t normalize BP (
B), prevent inflammation (
C), or dissolve clots (
D).

Question 2 of 5

A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks' gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings concerning the abdomen would include:

Correct Answer: C

Rationale: A rigid, boardlike abdomen is an assessment finding indicative of placenta abruptio. A cause of postbirth hemorrhage is uterine atony. With placenta previa, uterine tone is within normal range. The placenta is located directly over the cervical os in complete previa. Blood will escape through the os, resulting in the uterus and abdomen remaining soft and relaxed. In placenta abruptio, hypertonicity of the uterus is caused by the entrapment of blood between the placenta and uterine wall, a retroplacental bleed. This does not exist in placenta previa.

Question 3 of 5

Which skin assessment in a newborn indicates a need for follow-up?

Correct Answer: D

Rationale: Jaundice at birth is abnormal and may indicate hemolytic disease liver dysfunction or other serious conditions requiring immediate follow-up. Miliaria rubra erythema toxicum and Mongolian spots are benign and common in newborns.

Question 4 of 5

The medication that best penetrates eschar is:

Correct Answer: A

Rationale: Mafenide acetate is bacteriostatic and best penetrates eschar, making it effective for deep burn wounds. The other medications do not penetrate eschar as effectively.

Question 5 of 5

Following the delivery of a healthy newborn, a client has developed thrombophlebitis and is receiving heparin IV. What are the signs and symptoms of a heparin overdose for which the nurse would need to observe during postpartum care of the client?

Correct Answer: D

Rationale: Hematuria, ecchymosis, and epistaxis are the most common signs and symptoms of a heparin overdose, indicating bleeding tendencies.

Similar Questions

The physician has ordered synthetic thyroid medication for a patient with hypothyroidism. The nurse should instruct the client to:
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A mother calls the clinic to report that her otherwise healthy newborn has a rash on his forehead and face. The nurse should tell the mother:
A client with a history of a burn injury is receiving Collagenase (Santyl). The nurse should:
The nurse has performed nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate that teaching has been ineffective?

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