A young woman has an IV infusing for magnesium sulfate to treat preterm labor. The woman develops a fever. What is the first assessment the nurse should make?
A) Monitor the IV infusion rate.
B) Assess the vaginal mucosa.
C) Assess the IV site for redness.
D) Assess the client's blood pressure.
Ans: C
Feedback:
If tenderness, fever without obvious source, or symptoms of local or bloodstream infection are present, remove the dressing and inspect the site directly.
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A high school athlete tells the nurse that a high-protein diet is necessary for strong muscles. The nurse will want to point out to the athlete that:
1. A high protein diet will lead to weight loss so should be avoided. 2. The additional protein will provide extra energy. 3. It is not worth the extra expense. 4. Strong muscles are developed with exercise, not extra protein.
A woman is using Depo-Provera as a method of birth control. What common side effect should the nurse explain to the client?
A) Constipation B) Nausea C) Irregular bleeding D) Pregnancy
A group of students are debating the pros and cons of implantable identification devices. Which of the following would the proponents most likely address?
A) It allows quicker and safer emergency care. B) It should be a requirement to enhance care. C) It would ensure complete privacy. D) It promotes an individual's civil liberties.
Breast self-examination should be
A) performed at least annually. B) done on the last day of the menstrual cycle. C) performed only after a positive mammogram. D) done weekly in the shower.