The nurse recognizes that a nonstress test (NST) in which two or more fetal heart rate (FHR) accelerations of 15 beats/min or more occur with fetal movement in a 20-minute period is: A.Negative. B.non-reactive. C.reactive D.Positive. The Correct Answer and Explanation is: The correct answer is C. reactive. Explanation: A nonstress test (NST) is a […]

A nurse is providing teaching to a client who has stable angina and a new prescription for nitroglycerin oral, sustained-release capsules. Which of the following instructions should the nurse include? A.Take 1 capsule at the onset of anginal pain. B.Take the medication with meals. C.Swallow the capsules whole. D.Stop taking the medication if side effects

A nurse is caring for a client who has hyperemesis gravidarum.Which of the following laboratory tests should the nurse anticipate? A.Rapid plasma reagin. B.Prothrombin time. C.Urine ketones. D.Urine culture. The Correct Answer and Explanation is: The correct answer is C. Urine ketones. Explanation: Hyperemesis gravidarum (HG) is a severe form of nausea and vomiting during

A nurse is preparing to initiate intravenous (IV) antibiotic therapy for a newly admitted 12-month-old infant. Which of the following actions should the nurse plan to take? A Use a 24-gauge catheter to start the IV.B Start the IV in the infant’s foot.C Cover the insertion site with an opaque dressing.D Change the IV site

A nurse is preparing to administer ceftriaxone 250 mg IM to an adult client who has a gonococcal infection. The label on the vial indicates to reconstitute each vial with sterile water 2.1 mL to yield ceftriaxone 350 mg/mL. How many mL of the reconstituted medication should the nurse administer? (Round the answer to the

A nurse is providing teaching for a client who has hypertension and a prescription change from metoprolol to metoprolol/hydrochlorothiazide. Which of the following statements by the client indicates an understanding of the teaching? A.“The extra letters after the name of the medication mean it is a stronger dose.” B.“I will not have to do anything

A nurse is caring for an adolescent in an emergency department. Vital Signs. 2300: Medical History. Blood pressure 120/78 mm Hg. Apical pulse rate 100/min. Respiratory rate 20/min. 2400: Temperature 37.9° C (100.2° F). Oxygen saturation 98% on room air. Nurses’ Notes. Blood pressure 112/64 mm Hg. Apical pulse rate 108/min. Respiratory rate 28/min. Temperature

During a change-of-shift report, a night shift nurse informs the day shift nurse that a newly admitted client was disoriented and combative during the night. Which of the following actions should the day shift nurse take? A.Keep the client’s television on with the volume low B.Insert an indwelling urinary catheter to minimize interaction with the

The nurse is assisting with the care of a client who is receiving a unit of packed RBCs. ExhibitsComplete the following sentence by using the lists of options. Exhibit 1 The client has manifestations of an dropdownas evidenced by the client’sdropdown The correct answer and Explanation is : To accurately complete the sentence for a

What is the fastest route for medication administration? A.SQ (subcutaneous) B.PO (by mouth) C.IV (intravenous) D.IM (intramuscular) The correct answer and Explanation is : The fastest route for medication administration is: C. IV (intravenous) Explanation: The intravenous (IV) route is the most rapid method for delivering medications into the bloodstream. Here’s why: In summary, IV