Published May 24, 2005
Pocamom
60 Posts
38) When assessing a dark-skinned client for cyanosis, the nurse should examine which of the following?
1. the client's retinas
2. the client's nail beds
3. the client's oral mucous membranes
4. the inner aspects of the client's wrists
39) Betamethasone (Celestone) syrup 0.9mg has been ordered. It is available in a 0.6mg/5mL solution. How many milliliters should the nurse administer?
1. 2.5 mL
2. 6.0 mL
3. 7.5 mL
4 10.0 mL
40) A nulligravid client at 37 weeks' gestation is scheduled for a biophysical profile. Which of the following would the nurse instruct the client to do before the test?
1. Drink 1 to 2 L of fluid.
2. Remain NPO (take nothing by mouth) after midnight before the test.
3. Plan to remain in the clinic for 4 hours after the test.
4. Eat a high fiber meal after the test.
41) The nurse on the obstetrical unit has been notified by staff in the emergency room that a primigravid client with a history of sickle cell disease is to be admitted at 32 weeks' gestation with a diagnosis of sickle cell crisis. The nurse anticipates that the physician will order an infusion of which of the following?
1. platelets
2. granulocytes
3. packed red cells
4. whole blood
42) A working mother is concerned about the amount of snacking her teenaged boy is doing. She is concerned that this behavior could lead to obesity. Which of the following is an appropriate percentage of the daily diet to be obtained from snacks?
1. 10%
2. 25%
3. 40%
4. 50%
Good luck! :)
Jolie, BSN
6,375 Posts
Doesn't the trem "nulligravid" refer to a woman who has never been pregnant? How could a nulligravid client be at 37 weeks gestation?
Nulliparous, maybe, but not nulligravid.
Am I right, or am I confused?
twinmommy+2, ADN, BSN, MSN
1,289 Posts
38: 3
39: 3
40: 1
41: 4
42: 2? (not sure on that one)
Doesn't the trem "nulligravid" refer to a woman who has never been pregnant? How could a nulligravid client be at 37 weeks gestation?Nulliparous, maybe, but not nulligravid. Am I right, or am I confused?
I took this question directly from my NCLEX review book. I understand it to mean that this is this woman's very first pregnancy. But you are right I think they did use the wrong term. Para means # of pregnancies that have progressed past 20 weeks at delivery, so I don't think that nulliparous wouldn't be the correct term either. The correct term should of been primigravida : a woman who is pregnant for the first time.
:)
grinnurse, RN
767 Posts
Here's my answers:
38. 2
39. 3
40. 3
41. 3
42. 1
38) when assessing a dark-skinned client for cyanosis, the nurse should examine which of the following?
3. in dark-skinned clients, cyanosis can best be detected by examining the conjuctiva, lips, and oral mucous membranes.
39) betamethasone (celestone) syrup 0.9mg has been ordered. it is available in a 0.6mg/5ml solution. how many milliliters should the nurse administer?
1. 2.5 ml
2. 6.0 ml
3. 7.5 ml
4 10.0 ml
3.
40) a nulligravid client at 37 weeks' gestation is scheduled for a biophysical profile. which of the following would the nurse instruct the client to do before the test?
1. drink 1 to 2 l of fluid.
2. remain npo (take nothing by mouth) after midnight before the test.
3. plan to remain in the clinic for 4 hours after the test.
4. eat a high fiber meal after the test.
1. a biophysical profile includes a nonstress test; evaluation of fetal breathing movements, gross body movements, and fetal tone; and amniotic fluid volume. an ultrasound is used for this.
41) the nurse on the obstetrical unit has been notified by staff in the emergency room that a primigravid client with a history of sickle cell disease is to be admitted at 32 weeks' gestation with a diagnosis of sickle cell crisis. the nurse anticipates that the physician will order an infusion of which of the following?
3. the md will most likely order packed red blood cells to alleviate the anemia of sickle cell disease.
42) a working mother is concerned about the amount of snacking her teenaged boy is doing. she is concerned that this behavior could lead to obesity. which of the following is an appropriate percentage of the daily diet to be obtained from snacks?
2. about 25% of the teenager's diet can come from snacks.