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Questions 158

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Extract:


Question 1 of 5

The nurse is caring for a client who is receiving oxytocin (Pitocin) to induce labor. Which finding would prompt the nurse to discontinue the oxytocin infusion?

Correct Answer: D

Rationale: Late decelerations indicate uteroplacental insufficiency a serious complication of oxytocin-induced hyperstimulation. Discontinuing oxytocin is necessary to restore fetal oxygenation. The other findings are normal or expected during labor induction.

Question 2 of 5

The client is admitted with a diagnosis of abruptio placenta. Which complication is most likely to occur?

Correct Answer: C

Rationale: Abruptio placenta causes placental separation leading to fetal distress (from hypoxia) and maternal hemorrhage (from bleeding). Both are common and serious complications.

Question 3 of 5

The client has an order for Garamycin (gentamicin) to be administered. Which lab test should be done before beginning the medication?

Correct Answer: B

Rationale: Gentamicin, an aminoglycoside, is nephrotoxic. Serum creatinine is monitored before administration to assess baseline kidney function, as impaired renal function increases toxicity risk. Hematocrit, white cell count, and BUN are less specific for gentamicin.

Question 4 of 5

Which guidelines would hamper staff learning and compliance?

Question Image

Correct Answer: E, F, G

Rationale: Providing all information in one session (E) can overwhelm staff, reducing retention. Stating changes are mandated (F) may foster resentment, decreasing compliance. Sending a memo about errors (G) may seem punitive, discouraging engagement. In contrast, scientific information (
A), clarification (
B), acknowledging resistance (
C), and diagrams (
D) promote understanding and acceptance.

Question 5 of 5

The nurse is caring for a client with diabetes mellitus. Which instruction should be given to the client?

Correct Answer: D

Rationale: Numbness and tingling in the feet and toes may indicate diabetic neuropathy a serious complication requiring prompt reporting. Avoiding stairs reducing sodium or daily weighing are not specific to diabetes management unless indicated.

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