Safe and Effective Care Environment Nclex PN Questions - Nurselytic

Correct Answer: C

Rationale: When fetal distress is indicated, interventions are aimed at improving oxygenation and blood flow to the fetus. Increasing maternal fluids helps improve blood flow and oxygen delivery, administering oxygen increases oxygenation levels, and turning the mother can help optimize fetal oxygenation. Decreasing maternal fluids would negatively impact blood volume and can worsen fetal distress, making it the exception among the listed interventions.
Therefore, decreasing maternal fluids should not be performed when fetal distress is present.

Correct Answer: B

Rationale: The correct answer is that the disorder is uncommon in adults. Erythema infectiosum, also known as Fifth's disease, commonly affects children and is characterized by a 'slapped face' appearance. It is associated with a rash and sometimes a low-grade fever.
Therefore, the statement 'The disorder is uncommon in adults' is not correct, making it the correct answer. The other statements about the presence of a rash, 'slapped face' appearance, and the possibility of a fever are accurate in the context of erythema infectiosum.

Correct Answer: A

Rationale: The correct response acknowledges the client's anxiety and offers a practical solution to alleviate it, showing empathy and addressing the client's concerns. Offering a sedative to help relax during the test is a proactive approach to managing the client's anxiety.

Choices B and C dismiss the client's feelings by invalidating their anxiety, which can further escalate their distress.
Choice D downplays the client's feelings by implying they should not be worried, which does not effectively address the client's emotional state.

Correct Answer: C

Rationale: The correct answer is
Toradol.
Toradol is the first injectable NSAID that has been found to be comparable to morphine in terms of efficacy. Feldene (choice
A) is not known for being comparable to morphine in efficacy. Stodal (choice
B) is a homeopathic cough syrup and not an NSAID. Elavil (choice
D) is a tricyclic antidepressant and not an NSAID, so it is not comparable to morphine in efficacy.
Therefore,
Toradol is the most appropriate choice as it matches the description provided in the question.

Correct Answer: C

Rationale: The correct answer is 'The main therapeutic goals are comfort and better quality of life.' This statement reflects a proper understanding of palliative care, which focuses on improving the patient's quality of life and providing comfort. It does not necessarily mean a prognosis of less than 6 months or require hospitalization.
Choice A is incorrect because palliative care can be provided regardless of the prognosis.
Choice B is wrong as palliative care can be administered in various settings, not just hospitals.
Choice D is inaccurate as palliative care aims to improve symptoms and quality of life, so medications may be adjusted but not necessarily stopped.