HURST READINESS FINAL EXAM QNS AND ANS 2026/2027(60 pages)

What medication should the nurse anticipate giving to a client in preterm labor to stimulate maturation of the baby's lungs? 1. Magnesium sulfate 2. Terbutaline 3. Methotrexate 4. Betamethasone Rationale 4. Correct: Betamethasone is used to stimulate maturation of the baby's lungs in case preterm birth occurs. This medication is given to help prevent respiratory distress syndrome (RDS) by improving storage and secretion ofsurfactant that helps to keep the alveoli from collapsing. An adult client has just returned to the nursing care unit following a gastroscopy. Which intervention should the nurse include in the plan of care? 1. Vital sign checks every 15 min x 4 2. Supine position for 6 hours 3. NPO until return of gag reflex 4. Irrigate NG tube every 2 hours 5. Raise fourside rails Rationale 1., & 3. Correct: Vital signs post-procedure are important to monitor for any post-procedure complications such as bleeding or any signs of respiratory compromise. VS are checked frequently for the first-hour post-procedure. Any client who has a scope inserted down the throat and hasreceived numbing medication in the back of the throat to depress the gag reflex should be kept NPO until the gag reflex returns. A 70-year-old client was admitted to the vascular surgery unit during the nightshift with chronic hypertension. At 0830, the unlicensed nursing assistant (UAP) reports that the client's BP is