ATI RN
Chapter 14 Drugs for the Reproductive System Questions
Question 1 of 5
An emergency room nurse is observing a 22 year old client who has been using opiods. The following symptoms will be an indication of overdose:
Correct Answer: C
Rationale: The correct answer is C: Pupillary dilation and hypertensive crisis. Pupillary dilation is a hallmark sign of opioid overdose due to sympathetic nervous system stimulation. Hypertensive crisis can occur as a result of sympathetic overstimulation. Constricted pupils and hypotension (choice A) are seen in opioid use but not overdose. Tachypnea and vomiting (choice B) are common in opioid overdose but not specific indicators. Tremors and ataxia (choice D) are not typical signs of opioid overdose.
Question 2 of 5
The father of a 4-month-old infant calls in to the clinic reporting that his child is having a reaction to immunizations. What is the most important piece of information the nurse should elicit?
Correct Answer: C
Rationale: The correct answer is C because knowing the signs and symptoms the infant is experiencing will help the nurse assess the severity of the reaction and determine the appropriate course of action. This information is crucial for timely and effective intervention. A: While knowing the time the immunization was received is important, it is not as critical as understanding the current signs and symptoms the infant is experiencing. B: Whether the father has given the infant any acetaminophen is relevant but does not provide direct information on the infant's reaction to immunizations. D: The sites used to administer the immunizations are important for evaluating potential local reactions, but assessing the overall signs and symptoms takes precedence for determining the appropriate response.
Question 3 of 5
A 14-year-old girl requests a vaccination for human papillomavirus. After the nurse administers the first dose, which of the following is important to include in the patient's teaching?
Correct Answer: E
Rationale: The correct answer is E: The patient needs to return for the second dose in 2 months and the third dose in 6 months. This is important because the human papillomavirus (HPV) vaccine requires a series of doses to provide optimal protection against HPV infection, which can lead to cervical cancer and other diseases. Option A is incorrect because while the HPV vaccine is effective against certain strains of HPV, it does not prevent all sexually transmitted diseases. Option B is incorrect as Pap smears are still recommended for cervical cancer screening even after HPV vaccination. Option C is not the most important information to convey after the first dose of the HPV vaccine. In an educational context, it is crucial to emphasize the importance of completing the full HPV vaccination series to achieve maximum protection against HPV-related diseases. Providing accurate information and addressing common misconceptions about the HPV vaccine can help empower patients to make informed decisions about their health.
Question 4 of 5
A patient in her first trimester of pregnancy calls the nurse to ask for suggestions on decreasing nausea in the morning when she awakens. Which nonpharmacologic measures would the nurse be aware of to decrease nausea and vomiting? (Select all that apply.)
Correct Answer: A
Rationale: The correct answer is A: Eating dry toast before rising. Dry toast can help absorb stomach acid and provide a bland source of nutrition, reducing nausea. Other choices are incorrect because eating high-fat foods (D) can worsen nausea, eating a high-protein bedtime snack (C) may not address morning nausea, and while eating small frequent meals (B) can help, it is not specific to morning nausea upon waking.
Question 5 of 5
Which assessment finding is most concerning when examining a client in preterm labor who is receiving magnesium sulfate?
Correct Answer: C
Rationale: The correct answer is C, loss of patellar reflexes. This is concerning because it indicates magnesium sulfate toxicity, which can lead to respiratory depression, cardiac arrest, and maternal death. The other choices are less concerning: A (lethargy) is an expected side effect, B (warmth) is a common sensation with magnesium sulfate, and D (positive clonus) is an expected finding with magnesium sulfate therapy. It is essential to monitor for signs of magnesium toxicity to prevent serious complications.