Nurse Caring Client Question & Answer Guide (With Explanation)

Understanding this question requires applying core subject principles.

What This Question Is About

This question relates to nurse caring client and requires a structured academic response.

How to Approach This Question

Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves nurse caring client. A strong answer should include explanation, application, and examples.

Original Question

The nurse is caring for a client at 32 weeks’ gestation. The client reports regular contractions over the past 8 hours and has dilated from 1cm to 2 cm. Betamethasone has been prescribed for the client. What health teaching will the nurse provide about this drug? Select all that apply and provide rationales. a. “This drug will help decrease contractions.” b. “This drug will help to accelerate fetal lung maturity.” c. “This drug will help reduce the incidence of and severity of respiratory distress for the fetus.” d. “You’ll need to take this drug twice each day as a tablet.” e. “I’ll need to give the drug to you by injection two times, 24 hours apart.” f. “This drug will lessen the severity of any complications of prematurity.” g. “The benefits of this drug are greatest within 6 hours of administration.” 2. The nurse is caring for a client after a spontaneous delivery of a term fetus. The client’s pregnancy blood pressure at that time was 150/85 mm Hg. The client has been on magnesium sulfate therapy for preeclampsia for the past 8 hours per protocol. Current assessment data are as follows: Temperature 98 (36.7) Heart Rate 100 beats/min Respirations 22 breaths/min Blood pressure 198/104 Oxygen saturation 100% on room air Pain level 8/10 (headache) Based on the client’s current assessment findings, which of the following actions would the nurse take? Select all that apply & provide rationales. a. Notify the primary health care provider of the change in vital signs. b. Administer antihypertensive medication per protocol. c. Administer acetaminophen. d. Encourage the client to empty her bladder. e. Draw a magnesium level as ordered. f. Position client in a high-Fowler position to decrease blood pressure. g. Remain with the client until new prescriptions are received. 3. The nurse is caring for a 34 year old gravida 8 para 6 postpartum client with a blood pressure of 170/94 mm Hg who gave birth vaginally 2 hours ago. The quantitative blood loss during delivery was 350 mL, with a 2 hour recovery quantitative blood loss of 250 mL. The client continues to have a slow trickle of bright red blood from her vagina. Which of the following actions will the nurse take? Select all that apply & provide rationales. a. Administer additional oxytocin per protocol. b. Perform a fundal assessment. c. Administer misoprostol rectally per protocol. d. Administer methylergonovine intramuscularly per protocol. e. Assess deep tendon reflexes. f. Administer dinoprostone intravenously per protocol. g. Notify the primary health care provider. 4. The nurse is caring for a woman who has been diagnosed with severe pre-eclampsia and has been started on a magnesium sulfate infusion. Review the vital signs below & highlight the assessment findings that require follow up from the nurse: Temperature 98.8 Pulse ox (SPO2) 92% Respiratory rate 6 Heart rate 70 Blood Pressure 120/62 Considering this patient’s medications and current vital signs, what medication should the nurse prepare to administer? Include your rationale. a. Oxytocin b. Calcium gluconate c. Terbutaline d. Naloxone e. Indomethacin f. Misoprostol g. Betamethasone

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