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
Category | Exams and Certifications |
Comments | 0 |
Rating | |
Sales | 0 |