A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider?

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Question 1 of 5

A nurse is monitoring a client who has preeclampsia and is receiving magnesium sulfate by continuous IV infusion. Which of the following findings should the nurse reports to the provider?

Correct Answer: A

Rationale: The correct answer is A: Blood pressure 148/94mm Hg. High blood pressure in a client with preeclampsia indicates worsening condition and potential for eclampsia. Magnesium sulfate is given to prevent seizures, so high blood pressure needs immediate provider attention. Incorrect Choices: B: Respiratory rate 14mm - This respiratory rate is within normal range. C: Urinary output 20 mL/hr - Low urinary output should be monitored but is not the priority in this situation. D: 2+deep tendon reflexes - Normal deep tendon reflexes are expected with magnesium sulfate therapy.

Question 2 of 5

In planning sex education classes for the middle school age group, more emphasis should be placed on

Correct Answer: D

Rationale: The correct answer is D because emphasizing the use of condoms is crucial for preventing both sexually transmitted diseases and pregnancy among middle school students who may engage in sexual activity. Condoms are the most effective method for dual protection at this age. Choice A focuses on setting limits but may not address the practical aspect of protection. Choice B is important but not as critical as ensuring proper protection. Choice C is not suitable for this age group due to legal and ethical considerations.

Question 3 of 5

A 28-year-old G1 P0 client tells the nurse that she medication cabergoline, which is effective in reducing has a craving for chalk. What is the nurse's best prolactin levels. What are possible side effects of this response to her?

Correct Answer: D

Rationale: Step 1: The nurse should engage the client to gather more information about the craving for chalk. This helps in understanding the underlying cause. Step 2: By asking the client to elaborate on the reason for the craving, the nurse can assess if it's related to a medical condition or nutritional deficiency. Step 3: Understanding the client's perspective can guide the nurse in providing appropriate support and interventions. Step 4: Referring the client to a therapist (option A) without first exploring the issue may not address the root cause effectively. Step 5: Hypotension (option B) and nasal congestion (option C) are not directly related to the issue of chalk craving, making them incorrect choices. In summary, option D is correct as it promotes client-centered care by exploring the client's concerns before considering further interventions.

Question 4 of 5

A client in her third trimester complains of Braxton

Correct Answer: D

Rationale: The correct answer is D: Rest until the contractions subside. During Braxton Hicks contractions, rest can help alleviate the discomfort. It allows the body to relax and reduces the intensity of the contractions. Other options are incorrect because: A: Reporting stools with milk curds to the infant's healthcare provider is unrelated to Braxton Hicks contractions. B: Stool color changes are irrelevant to managing Braxton Hicks contractions. C: Drinking water is important for overall health during pregnancy but does not directly address Braxton Hicks contractions.

Question 5 of 5

Which of the following conditions is concerning to The nurse recognizes which as a risk factor for placenta the infant nursery nurse? abruptio? Select all that apply.

Correct Answer: C

Rationale: Correct Answer: C - Hypertension Rationale: 1. Hypertension is a known risk factor for placental abruption. 2. Hypertension can lead to poor placental perfusion, increasing the risk of abruption. 3. Proper monitoring and management of hypertension are crucial to prevent adverse outcomes. Summary: A, B, D are unrelated to placental abruption and not risk factors. Hypertension is directly linked to placental abruption due to its impact on placental perfusion.

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