A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the LPN/LVN to ask this client?- Nurselytic

Question 1 of 5

A client at 32-weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue, and a moist cough. Which question is most important for the LPN/LVN to ask this client?

A. Which symptom did you experience first? B. Are you eating large amounts of salty foods? C. Have you visited a foreign country recently? D. Do you have a history of rheumatic fever?

Correct Answer: D

Rationale: Rheumatic fever can lead to rheumatic heart disease, which may be exacerbated during pregnancy, causing symptoms like pedal edema and dyspnea.

Question 2 of 5

Insulin therapy is initiated for a 12-year-old child who is admitted with diabetic ketoacidosis (DKA). Which action is most important for the nurse to include in the child's plan of care?

A. Monitor serum glucose for adjustment in the infusion rate of regular insulin (Novolin R). B. Determine the child's compliance schedule for subcutaneous NPH insulin (Humulin N). C. Demonstrate to the parents how to program an insulin pen for daily glucose regulation. D. Consult with the healthcare provider about the use of insulin detemir (Levemir Flex Pen).

Correct Answer: A

Rationale: In managing diabetic ketoacidosis (DKA), monitoring serum glucose levels is crucial to adjust the infusion rate of regular insulin effectively. This helps in controlling blood glucose levels and preventing complications associated with DKA. Close monitoring and adjustments based on glucose levels are essential for the successful management of DKA.

Question 3 of 5

At 40-weeks gestation, a client presents to the obstetrical floor with spontaneous rupture of amniotic membranes at home, in active labor, and feeling the urge to push. What information should the nurse prioritize obtaining?

A. Color and consistency of fluid. B. Estimated amount of fluid. C. Any odor noted at the rupture of membranes. D. Time of membrane rupture.

Correct Answer: A

Rationale: Assessing the color and consistency of amniotic fluid is crucial as it can indicate the presence of meconium, which suggests potential fetal distress. This information guides the need for further assessments and interventions to ensure the well-being of the mother and fetus.

Question 4 of 5

When preparing a class on newborn care for expectant parents, what content should be taught concerning the newborn infant born at term gestation?

A. Milia are white marks caused by sebaceous glands and typically resolve within 2 to 4 weeks. B. Meconium is the first stool and is typically dark green or black in color. C. Vernix caseosa is a white, cheesy substance mainly found in skin folds, providing a protective layer. D. Pseudostrabismus in newborns usually self-resolves without the need for intervention.

Correct Answer: C

Rationale: Vernix caseosa is a white, cheesy substance that acts as a protective barrier on the skin of newborns, particularly present in skin folds. It helps to prevent dehydration and protect the delicate skin of the newborn from the amniotic fluid in utero. Educating expectant parents about the presence and function of vernix caseosa can help them understand the importance of its preservation during the immediate postnatal period.

Question 5 of 5

A young girl with a fractured radius has a cast applied. As the cast is drying, it is elevated above the level of her heart. Which assessment finding should the healthcare provider be reported to immediately?

A. Itching sensation under the cast. B. Swelling of fingers with brisk capillary refill. C. Numbness and inability to move fingers. D. Visible bruising above the cast.

Correct Answer: C

Rationale: Numbness and inability to move fingers are concerning findings that suggest potential nerve damage or compartment syndrome due to increased pressure within the cast. This requires immediate notification of the healthcare provider to prevent further complications or permanent damage.

Nurselytic

HESI RN

HESI RN

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