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Term
a nurse is assessing a client who is receiving morphine via iv bolus for
pain following a C section. the nur se not es a resp rate of 8 per min.
which of the following medica tions shoul d the nur se adminis ter?1 of 53
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ATI RN MATERNAL NEWBORN NGN PROCTORED 2023 NEWEST VERSION COMPLETE 70 QUESTIONS AND CORRECT DETAILED ANSWERS 2 of 53
reports increased urinar y output .
Increased urinar y output , nausea and vomiting , reports of thirst, abdominal pain,
cons tipation, drowsiness, and heada ches are manif estations of hyper glycemia.
Other manif estations include weak rapid pul se, fruity breath odor, urine positiv e for
sugar and acetone, and a blood glucose l evel greater than 200 mg/ dL.naloxone
Morphine is a common opioid analgesic used for postoper ative pain
mana gement that can cause centr al nervous system depr ession and can
cause r espir atory depr ession. The nur se shoul d adminis ter naloxone, an
opioid antagonis t, to reverse the opioid-induced r espir atory depr ession in the
client.
substernal retractions
The nur se shoul d identify that subs ternal retractions, apnea , grunting , nasal fl aring ,
and tachypnea are manif estations of neona tal infection or respir atory distress in the
newborn. The nur se shoul d report these findings to the pr ovider for immedia te
intervention.
resp distress.
Late preterm ne wborns are at an incr eased risk for hypogl ycemia due to decreased
glycogen s tores and imma ture insul in secr etion. R espir atory distress is a
manif estation of hypogl ycemia. Other manif estations of hypogl ycemia include an
abnormal cry, jitteriness, l ethar gy, poor feeding , apnea , and seizur es.
Don't know? Term
oligohy draminos
Term
a nurse is caring for a client who is at 15 weeks of gestation, is rh neg ,
and has just had an amniocent esis. which of the following int erventions
is the nur se's priority following the pr ocedur e?3 of 53Give this one a try later!
lack of fetal movement
presence of an insufficient
amount of amniotic fluid
abnormal growth of the pl acenta
excessiv e amount of amniotic fluid
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monit or FHR
The greatest risk to this client and her fetus is fetal death. Therefore, the
priority nursing int ervention is to monit or the FHR following an amniocent esis. Term
a nurse is assessing a newborn who is 16 hr old. Which of the following
findings shoul d the nur se report to the pr ovider .4 of 53
"I shoul d take 600 micr ograms of folic acid ea ch day."
A client who is pregnant shoul d incr ease folic acid int ake to 600 mcg daily. Folic
acid assists with pr eventing neur al tube birth defects.
have the client change position
Having the client change position is an appr opria te intervention for a variabl e
decel eration to relieve umbil ical cord compr ession.
bun of 25 ml/dl
The nur se shoul d report an el evated BUN to the pr ovider since it can indica te
dehy dration.Don't know?
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substernal retractions
The nur se shoul d identify that subs ternal retractions, apnea , grunting , nasal
flaring , and tachypnea are manif estations of neona tal infection or respir atory
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