San Jacinto College NURSING RNSG2208/ RNSG 2208 Test 3 Final ALL ANSWERS 100% CORRECT FALL-2022 SOLUTION AID GRADE A+

1) Which client should the postpartum nurse assess first after receiving the shift report? A. The client who is complaining of perineal pain when urinating. B. The client who is crying because the baby will not nurse. C. The client who saturated multiple peri-pads during the night. D. The client who is refusing to leave the newborn in the room. 2) Which of the following should the nurse include in the teaching of a client who has had a IUD inserted? A. Douche weekly for 4 weeks to decrease the risk of infection B. Use another method of contraception for 2 weeks after insertion. C. Check for the string after menstrual period D. Have the IUD replaced every 2 years. 3) When RN and unlicensed assistive personnel (UAP) are caring for clients on a postpartum unit. Which task would be most appropriate for the RN to assign to the UAP? A. Complete the client’s discharge instruction. B. Spray anesthetic foam on the client’s episiotomy. C. Escort the client to the car and check for a car seat. D. Perform an in and out catheterization. 4) What important, immediate postoperative care practice should the nurse remember when caring for a woman who has had a mastectomy? a. The blood pressure (BP) cuff should not be applied to the affected arm. b. Venipuncture for blood work should be performed on the affected arm. c. The affected arm should be used for intravenous (IV) therapy. d. The affected arm should be held down close to the woman’s side. 5) When discussing estrogen replacement therapy (ERT) with a perimenopause woman, which of the following diseases would be contraindicated? A. Vaginal and urinary tract atrophy B. Breast Cancer C. Osteoporosis D. Arteriosclerosis 6) A neonate is admitted to the nursery 15 minutes after delivery. The nurse notes the bays feet are blue. She: A. Notifies the doctor B. Documents this in the record C. Stimulates the baby D. Administers vitamin K 7) Which of the following statements might the nurse appropriately include when teaching a client about calcium intake for osteoporosis? Select all that apply A. IT is best to take calcium in one large dose B. You should drink at least 8 ounces of water when you take the calcium pill. C. You should try to increase your protein intake when you are taking calcium D. It’s okay to take calcium if you have had a history of kidney stones. E. You should take calcium with vitamin D because the vitamin D helps your body absorb calcium better. 8) Why would a nurse provide non-nutrive sucking when providing gavage feeding to an infant? A. To promote nipple attachment B. To increase the energy expenditure C. To help the formula go down faster D. To prevent GI reflux 9) The nurse is preparing to transfer Ms. N to the postpartum unit. What statement by the client would cause to stop and reassess the client before transfer? A. I feel dizzy if I walk. B. My nipples are very sore. C. I feel something gushing D. I have had cramping in my abdomen. 10) The nurse is teaching the client the nutritional benefits of breast feeding. Which response by the mom indicates that teaching was effective? A. At my baby’s two-week checkup, the health care provider will prescribe iron drops for my baby. B. I will give my baby one bottle of iron-fortified formula each day while I am breastfeeding. C. Breastmilk provides all the iron my baby needs D. Once my milk comes in, I will need to take an iron supplement. 11) A newborn has received a circumcision. What is the priority nursing action? A. Apply petroleum jelly to the site with every diaper change for the first 24 hours B. Teach the parents to remove the yellowish exudate that forms over the glans using gauge C. Check the penis for bleeding every 15 minutes for the first 4 hours D. Feed the infant just before the procedure to help him relaxed and quiet 12) The nurse is caring for a client who is experiencing post-partum hemorrhage. The provider orders Hemabate (prostaglandin F@). Which of the following conditions would cause the nurse to question the order? A. Cardiac disease B. Hypotension C. Asthma D. Anemia 13) What nursing actions are most important to prevent further hemorrhage in a client who has already had a post-partum bleed? A. Assess and massage the fundus every 15 minutes B. Assure that the maternal bladder is empty C. Provide lunch with high iron foods D. Assist client in the left internal position E. Monitor vital signs 14) A nurse has received an order to give RhoGam to a client. Indirect Coombs test shows a titer of 1:10. What is the priority nursing action? A. Give ½ of the dose ordered B. Hold the medication and notify the doctor C. Call the doctor and get s stat H &H D. Give the medication as ordered 15) The client who is 24-hour post-partum tells the nurse that she is concerned because she had not had a bowel movement yet. What is the best nursing action? A. Document this in the record. B. Administer an enema C. Administer the prn laxative that has been ordered D. Notify the health care provider immediately