NSG 3500 - EXAM 3 TESTBANK QUESTIONS AND ANSWERS ALREADY GRADED

NSG 3500 - EXAM 3 TESTBANK QUESTIONS AND ANSWERS ALREADY GRADED
What characteristics/problems can an amniocentesis identify? - correct answer
✔✔Chromosomal defects, neural tube defects and the sex of the fetus.
The nurse is caring for a client who recently underwent a total hip replacement. The
nurse should: - correct answer ✔✔Limit client hip flexion when sitting.
The nurse is caring for a client with burns on his legs. Which nursing intervention will
help to prevent contractures? - correct answer ✔✔Applying knee splints.
Which of the following groups of characteristics would the nurse expect to see in the
client with schizophrenia? - correct answer ✔✔Loose associations, grandiose delusions,
and auditory hallucinations.
A client is admitted to the facility in preterm labor. To halt her uterine contractions, the
nurse expects the physician to prescribe: - correct answer ✔✔Ritodrine/Yutopar
To help assess a client's cerebral function, the nurse should ask: - correct answer
✔✔"Have you noticed a change in your memory?"
Most antipsychotic medications exert what effects on the central nervous system
(CNS)? - correct answer ✔✔Deprses the CNS by blocking the postsynaptic
transmission of dopamine, serotonin, and norepinephrine.
What medical condition is most likely the cause of wound healing delay? - correct
answer ✔✔Peripheral vascular disease.
The nurse is instructing a client about breast-feeding. Which instructions should she
include to help prevent the mother from developing mastitis? - correct answer
✔✔Change the breast pads frequently. Expose the nipples to air for part of each day.
Wash hands before handling the breast and breast-feeding. Release the baby's grasp
on the nipple before removing the baby from the breast.
The nurse is assessing tactile fremitus in a client with pneumonia. For this examination,
the nurse should use the: - correct answer ✔✔Ulnar surface of the hand.
What characteristics/problems can an amniocentesis identify? - correct answer
✔✔Chromosomal defects, neural tube defects and the sex of the fetus.
The nurse is caring for a client who recently underwent a total hip replacement. The
nurse should: - correct answer ✔✔Limit client hip flexion when sitting.
The nurse is caring for a client with burns on his legs. Which nursing intervention will
help to prevent contractures? - correct answer ✔✔Applying knee splints.
Which of the following groups of characteristics would the nurse expect to see in the
client with schizophrenia? - correct answer ✔✔Loose associations, grandiose delusions,
and auditory hallucinations.
A client is admitted to the facility in preterm labor. To halt her uterine contractions, the
nurse expects the physician to prescribe: - correct answer ✔✔Ritodrine/Yutopar
To help assess a client's cerebral function, the nurse should ask: - correct answer
✔✔"Have you noticed a change in your memory?"
Most antipsychotic medications exert what effects on the central nervous system
(CNS)? - correct answer ✔✔Deprses the CNS by blocking the postsynaptic
transmission of dopamine, serotonin, and norepinephrine.
What medical condition is most likely the cause of wound healing delay? - correct
answer ✔✔Peripheral vascular disease.
The nurse is instructing a client about breast-feeding. Which instructions should she
include to help prevent the mother from developing mastitis? - correct answer
✔✔Change the breast pads frequently. Expose the nipples to air for part of each day.
Wash hands before handling the breast and breast-feeding. Release the baby's grasp
on the nipple before removing the baby from the breast.
The nurse is assessing tactile fremitus in a client with pneumonia. For this examination,
the nurse should use the: - correct answer ✔✔Ulnar surface of the hand.
A 3-day-breastfeeding client who is not immune to rubella is to receive the rubella
vaccine at discharge. Which of the following must the nurse include in her discharge
teaching regarding the vaccine?
1. The woman should not become pregnant for at least 4 weeks.
2. The woman should pump and dump her breast milk for 1 week.
3. Surgical masks must be worn by the mother when she holds the baby.
4. Antibodies transported through the breast milk will protect the baby. - correct answer
✔✔1
1. This statement is correct.
2. The rubella vaccine is a live attenuated vaccine. Severe birth defects can develop if
the woman becomes pregnant within 4 weeks of receiving the injection.
3. This is unnecessary. There is no risk to the baby whether the mother is bottle feeding
or breastfeeding.This statement is incorrect. There is no risk to the baby.
4. This statement is incorrect.
A 3-day-postpartum client questions why she is to receive the rubella vaccine before
leaving the hospital. Which of the following rationales should guide the nurse's
response?
1.The client's obstetric status is optimal for receiving the vaccine.
2. The client's immune system is highly responsive during the postpartum period.
3. The client's baby will be high risk for acquiring rubella if the woman does not
receive the vaccine.
4. The client's insurance company will pay for the shot if it is given during the
immediate postpartum period. - correct answer ✔✔1
1 This statement is correct. Because the vaccine is teratogenic, the best time to
administer it is when the client is not pregnant.
This statement is incorrect. The immune systems of women during their pregnancies
and immediately postpartum are slightly depressed.
This statement is incorrect. The baby will be susceptible to rubella whether or not the
woman receives the vaccine.In general, insurance companies will pay for vaccinations
whenever they are needed.
A patient, G2 P1102, who delivered her baby 8 hours ago, now has a temperature of
100.2°F. Which of the following is the appropriate nursing intervention at this time?
1. Notify the doctor to get an order for acetaminophen.
2. Request an infectious disease consult from the doctor.
3. Provide the woman with cool compresses.
4. Encourage intake of water and other fluids. - correct answer ✔✔4

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