Optimal Decision Scenario Nurse Darla completed a vaginal examination on Ms

Optimal decision scenario nurse darla completed a

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Optimal Decision Scenario Nurse Darla completed a vaginal examination on Ms. Goodwin. Question Nurse Darla completed a vaginal examination on Ms. Goodwin and notified the provider of her findings. Which of the following actions is the highest priority? Selected Option Administer nifedipine (Procardia). Rationale Nifedipine relaxes smooth muscles, decreasing uterine contractions. Because the greatest risk to the client and her fetus is preterm labor, this is the priority action at this time. Optimal Decision Scenario Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin. Question Nurse Darla is preparing to administer betamethasone (Celestone) to Ms. Goodwin. Which of the following is an appropriate action for Darla to take? Selected Option Administer the medication into the ventrogluteal muscle. Rationale The nurse should administer betamethasone deep IM. Because the dose will involve injecting 2 mL of medication, the nurse should use a large muscle. Report Created on: 4/8/2017 12:28 PM EDT REP_RSIndv_ModuleReport_1_0 Page 3 of 6
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Optimal Decision Scenario Nurse Darla is preparing to obtain a urine specimen from the urinary catheter. Question Nurse Darla is preparing to obtain a urine specimen from the urinary catheter after the catheter was clamped 5 inches above the collection port. Identify the sequence of steps Darla should take when preforming this procedure. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.) Selected Ordering Don gloves.Disinfect the port.Access the port.Unclamp the drainage tube. Withdraw the specimen. Rationale When obtaining a specimen from a urinary closed system, the nurse should don gloves, disinfect the port, access the port, unclamp the tubing, and withdraw the specimen. Optimal Decision Scenario Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Question Nurse Darla is preparing to administer ampicillin (Ampicin) to Ms. Goodwin. Which of the following is an appropriate action for Darla to take? Selected Option Assess Ms. Goodwin for sensitivity to cephalosporin. Rationale Due to the risk of cross sensitivity between ampicillin and cephalosporin, the nurse should check the client s record for a history of cephalosporin sensitivities. Optimal Decision Scenario Nurse Darla and the charge nurse are discussing nifedipine (Procardia). Question Nurse Darla and the charge nurse are discussing nifedipine (Procardia). Which of the following statements by Darla indicates an understanding of the medication? Selected Option ³ I should assess her for facial flushing. ´ Rationale The nurse should assess the client for facial flushing as an adverse effect of the medication. Optimal Decision Scenario Nurse Darla is planning to administer magnesium sulfate to Ms. Goodwin.
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  • Spring '17
  • Feltro
  • urinary tract infection, Nurse Darla, Ms. Goodwin

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