UPDATE - ACTUAL EXAM 200

NUR 242 Exam #3 Study Guide Review LATEST

UPDATE - ACTUAL EXAM 200

QUESTIONS AND 100% VERIFIED CORRECT

ANSWERS GUARANTEED A+

-Administer NSAIDs -Provide rest and elevate leg -Apply warm compress over the affected area

-Use antiembolism socks - CORRECT ANSWER: A 37 yo client complains of calf pain

following vaginal delivery of her third child. On assessment, the nurse finds that the calf area is tender to the touch. The client is diagnosed with superficial venous thrombosis.What interventions should the nurse perform to treat the client's condition of superficial venous thrombosis?

-At antepartum visits, the nurse should be alert for clinical manifestations of tuberculosis such as fatigue, fever or night sweats, nonproductive cough, slow-weight loss, anemia, hemoptysis, and anorexia.-If tb is suspected or the woman is at risk for developing tb, the nurse should anticipate screening with purified protein derivative by IM; if the client has been exposed to tb, a reddened area will appear within 72 hours.-A follow-up chest x-ray with a lead shield over the abdomen and sputum cultures will

confirm the diagnosis. - CORRECT ANSWER: What is the procedure involved in the

assessment of tb in pregnant clients?

-Change or increase in vaginal discharge with mucous, water or blood in it.-Pelvic pressure (pushing down sensation) -Low, dull backache -UTI symptoms -Feeling of pelvic pressure or fullness -GI upset; nausea, vomiting, diarrhea -General sense of discomfort or unease -Heavyness/aching in thighs -Uterine contractions with or without pain -+6 contractions/hour

-Intestinal cramping with or without diarrhea - CORRECT ANSWER: What are the

symptoms of preterm labor?

-Educate the patient on the need for frequent and early ambulation -Encourage activities that cause the leg muscle to contract (leg exercise and walking) -Use SCDs -Elevate legs above the level of the heart -Antiembolitic socks -Passive exercises in the bed -Post-op deep breathing 1 / 3

-Avoid placing pillows under the knee, keeping the legs in stirrups, using knee-gatch - CORRECT ANSWER: A 37 yo client complains of calf pain following vaginal delivery of her third child. On assessment, the nurse finds that the calf area is tender to the touch.The client is diagnosed with superficial venous thrombosis. What nursing interventions should the nurse perform to prevent thromboembolic complications in patients?

-Explain the need for the procedure, what it involves, and how it may solve the problem -Inform the mother that she will need to remain on bed rest during the procedure -Assess the mother's vital signs and associated discomfort level -Maintain adequate intake and output levels -Assess the duration and intensity of uterine contractions frequently to identify overdistention or increased uterine tone -Monitor FHR pattern to determine whether the amnioinfusion is improving fetal status -Prepare the mother for a possible C-section if the FHR does not improve after the amnioinfusion - CORRECT ANSWER: A nurse is caring for an antenatal mother who is advised to undergo amnioinfusion d/t oligohydramnios. The nurse prepares the client for the procedure. What nursing interventions should the nurse follow when caring for the client to prevent maternal and fetal complications?

-Family history -History of menorrhagia -Prolonged bed rest -Diabetes -Obesity -Cesarean birth -Smoking -Severe anemia -Varicose veins -Advanced Maternal Age (AMA) +35 -Multiparity

-Use of oral contraceptives before pregnancy - CORRECT ANSWER: A 37 yo client

complains of calf pain following vaginal delivery of her third child. On assessment, the nurse finds that the calf area is tender to the touch. The client is diagnosed with superficial venous thrombosis. What are the risk factors for which a nurse should assess for the development of thromboembolic complications in a postpartum client?

-Mood lability -Delusional beliefs -Hallucinations -Disorganized thinking -Anger toward herself and infant -Bizarre behavior -Depersonalization -Sleep disturbances (isn't that the baby?....jk... kinda) -Fatigue -Depression 2 / 3

-Hypomania **Early symptoms resemble those of depression, but may escalate to above symptoms plus delirium-like appearance, manifestations of mania, thoughts of hurting herself or infant, and loss of touch with reality** - CORRECT ANSWER: Symptoms of Postpartum Psychosis

-Seeking economic and social stability -Developing a personal value system -Building a meaningful relationship with others -Becoming comfortable with their changing bodies -Working to become independent

-Learning to verbalize conceptually - CORRECT ANSWER: What are the

developmental tasks associated with adolescent behavior?

'Knife-life" abdominal pain with bleeding. - CORRECT ANSWER: A nurse has been assigned to assess a client with abruptio placenta. For which classic manifestation of this condition should the nurse assess?

"You do not need to limit your physical activity unless you experience any problems such as fatigue, chest pain, or shortness of breath." - CORRECT ANSWER: A nurse is caring for a 45 yo pregnant client with a cardiac disorder, who has been instructed by her physician to follow class I functional activity recommendations. The nurse correctly instructs the client to follow which limitations?

• Administration of general anesthetic
• Manually push back the uterus into proper position
• Administration of oxytocin
• Administration of antibiotics - CORRECT ANSWER: Steps of management of uterine

inversion

• Place the woman in the supine position
• Have the woman flex her knee slightly
• Place a hand under the knee to support the leg and locate the patellar tendon
• Using a reflex hammer or the side of the hand, strike the area of the patellar tendon

firmly and quickly

• Note the movement of the leg and foot

6. Repeat the procedure on the opposite leg - CORRECT ANSWER: Steps for

assessing the patellar reflex

• Prepare the oxytocin infusion by diluting 10 u of oxytocin in 1000 mL of LRS
• Use an infusion pump on a secondary line connected to the primary infusion
• Start the oxytocin infusion in mU per minute or mL per hour as ordered
• Monitor that characteristics of the FHR, including baseline rate, baseline variability,

and decels

• Perform or assist with periodic vaginal examinations to determine cervical dilation

and fetal descent - CORRECT ANSWER: Steps for administration of oxytocin

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