Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider of her findings. Which of the following actions is the highest priority?
administer nifedipine (procardia) obtain a cervical cu
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Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider of her findings. Which of the following actions is the highest priority?
administer nifedipine (procardia) obtain a cervical culture
communicate the plan of care with Ms. Goodwin administer betamethasone (celestone)
-A
Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin. Which of the following is an appropriate action for Darla to take?
administer the medication as two separate subcutaneous injections administer the medication into the deltoid muscle
administer the medication subcutaneously into the periumbilical area administer the medication into the ventrogluteal muscle
-D
Nurse Darla is preparing to obtain a urine specimen from the urinary catheter after the catheter was clamped 5 inches above the collection port. Identify the sequence of steps Darla should take when preforming this procedure. Place in order of performance
withdraw the specimen don gloves
access the port unclamp the drainage tube
disinfect the port
-B, E, C, D, then A
Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Which of the following is an appropriate action for Darla to take?
administer the medication over 1 min infuse the medication over 30 min
assess Ms. Goodwin for sensitivity to sulfonamides
assess Ms. Goodwin for sensitivity to cephalosporin
-D
Nurse Darla and the charge nurse are discussing nifedipine (Procardia). Which of the following statements by Darla indicates an understanding of the medication?
hypertension is an expected finding of the medication
I should assess her for facial flushing an adverse effect of the medication is bradycardia
I should inspect her skin daily for bruising
-B
Nurse Darla is planning to administer magnesium sulfate to Ms. Goodwin. Which of the following indicate magnesium sulfate toxicity? Select all that apply.
altered level of consciousness
respiratory rate less than 12/min deep tendon reflexes 3+
urinary output less than 30 mL/hr
muscle rigidity
-A, B, and D
Nurse Darla is teaching Ms. Goodwin about receiving tocolytic therapy. Which of the following statements by Ms. Goodwin indicates she understands the effects of the therapy?
I may have difficulty sleeping at night due to the medication
I should increase my fluid intake to 3 liters daily I may experience hot flashes throughout the day
I should lie on my back as much as possible
-C
Nurse Darla is teaching Ms. Goodwin about bed rest. Which of the following potential adverse effects should Darla include in the teaching?
muscle hypertonicity thrombus formation
increased Braxton-Hicks contractions increased cardiac output
-B
Nurse Darla is teaching Ms. Goodwin about signs of true labor. Which of the following statements by Ms. Goodwin indicates an understanding of the teaching?
I should feel pain in my upper abdomen my urge to frequently urinate will decrease
my contractions will decrease with walking I will experience pressure in my pelvis
-D
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