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Question 1 of 5

When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?

Correct Answer: D

Rationale: This is not a normal occurrence. Late decelerations need prompt intervention for immediate infant recovery.
To increase O2 perfusion to the unborn infant, the mother should be placed on her left side. IV fluids should be increased, not decreased. Immediate action is warranted, such as reporting findings, turning mother on left side, administering O2, discontinuing oxytocin (Pitocin), assessing maternal blood pressure and the labor process, preparing for immediate cesarean delivery, and explaining plan of action to client.

Question 2 of 5

The nurse is assessing the client with metabolic alkalosis. Which findings would likely be observed in this client?

Question Image

Correct Answer: B, C, E, F

Rationale: Metabolic alkalosis results from excess bicarbonate or loss of acids (e.g., from vomiting). Vomiting and nausea (
C) are common causes. Numbness (
B), circumoral paresthesia (E), and hypertonic muscle contractions (F) occur due to hypocalcemia from alkalosis. Kussmaul’s respirations (
A) are associated with metabolic acidosis, and warm flushed skin (
D) is unrelated.

Question 3 of 5

The client is prescribed furosemide (Lasix) for heart failure. Which laboratory value should the nurse monitor closely?

Correct Answer: A

Rationale: Furosemide, a loop diuretic, causes potassium loss, risking hypokalemia, which can lead to arrhythmias. Calcium, hemoglobin, and BUN are less directly affected.

Question 4 of 5

Which instruction should be given to the client who has been prescribed a dry powder inhaler for treatment of COPD?

Question Image

Correct Answer: A, D, E

Rationale: Dry powder inhaler use involves removing the cap and shaking (
A), placing the mouthpiece in the mouth (
D), and weekly dry cleaning (E). Rinsing (
B) risks moisture damage, and spacers (
C) are typically for metered-dose inhalers.

Question 5 of 5

Which is true regarding the administration of antacids?

Correct Answer: C

Rationale: Antacids can bind to other medications, reducing their absorption, so they should be administered at least 1–2 hours apart from other drugs. Timing with meals depends on the condition, and they are not given with every meal/snack or to enhance other drug absorption.

Similar Questions

The nurse is assessing a newborn in the well-baby nursery. Which finding should alert the nurse to the possibility of a cardiac anomaly?
At her monthly prenatal visit, a client reports experiencing heartburn. Which nursing measure should be included in her plan of care to help alleviate it?
The nurse is teaching a client with a history of eczema about skin care. The nurse should tell the client to:
A client is admitted with a ruptured spleen following a four-wheeler accident. In preparation for surgery, the nurse suspects that the client is in the compensatory stage of shock because of which clinical manifestation?
The nurse is providing discharge teaching for a client taking naltrexone (Revia). The nurse should instruct the client to avoid which over-the-counter medication:

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