ATI 3.0 Maternal

A nurse is assessing a client who is at 35 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for severe pre-eclampsia. Which of the following findings should the nurse report to the provider? A: Deep Tendon Reflexes 2+ B: BP 150/96 mm Hg C: Urinary output 20 mL/hr D: Respiratory Rate 16/min C: Urinary output 20 mL/hr This can indicate inadequate renal perfusion, increasing the risk of magnesium sulfate toxicity. A decrease in urinary output can also indicat...

The most important factor in measuring blood pressure accurately is: using a cuff of the appropriate size for the patient When assessing a patient's respiration, it is recommended that the patient: have the head of the bed elevated 45 to 60 degrees. When auscultating a patient's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly and regularly. S2 is produced when the: semilunar valves close To auscultating a patient's apical pulse accurately, you position the bel...

When auscaltating a pt's apical pulse, you listen until you hear the S1 and S2 heart sounds clearly and regularly. S2 is produced when the semilunar valve closes When preparing to use a tympanic thermometer, what step is most important for accuracy?> gently pulling the pinna up and back. When assessing a newly admitted pt, establish an accurate baseline for respirations by... observing the pt's chest movements while appearing to assess his pulse. What could affect your process of taki...

A nurse is teaching a group of older adults about suspected changes of aging. Which statement by a group member indicates effective teaching? I should expect my HR to take longer to return to normal after exercise. Urinary incontinence is something I have to live with as I get older. I can expect to have less ear wax as I get older. My stomach will empty more quickly after meals as I grow older. I should expect my HR to take longer to return to normal after exercise. A nurse is caring for...

Holding a soft rattle 3-6 months Watching black-and-white mobiles birth to 3 months Playing peek-a-boo 6-9 months Drawing, painting, riding a tricycle preschooler Team sports school age children Banging large block 9-12 months Loud, harsh murmur that is not usually audible until pulmonary pressures drop at about 4 to 8 weeks of age; Heart failure; Failure to thrive; Small, possibly asymptomatic defects. Ventricular septal defect (VSD)

A nurse is assessing the pain level of a client who has dementia and difficulty communicating, which pain assessment technique should the nurse use? behavioral indicators (increased agitation, restlessness) a nurse receives a report from an assistive personnel that a client's BP is 160/95, what should the nurse do first? recheck the clients BP (reassess prior to any intervention) a nurse is caring for a client who has an indwelling urinary cath, what should the nurse identify as a cath o...

A nurse is completing a nutritional assessment on a client and measures BMI, which of the following readings correlates with a BMI of an overweight client? 25 (25-29.9) a nurse is verifying ng tube placement by the pH of aspirated gastric fluid. which of the following pH values provides a good indication of correct tube placement? 2 (pH between 0-4) a nurse is caring for a client with a closed head injury. when pressure is applied to the client's nail beds, the clients eyes open and addu...

Hypovolemia decreased blood volume increase in Hematocrit Hypervolemia increased blood volume Hemodilation Hypernatermia Severe neurological disturbances Hyponatermia < 136 Hyperkalemia Peaked T waves and widened QRS. Hypokalemia <3.5 Erikson's stages of psychosocial development trust vs mistrust autonomy vs shame and doubt initiative vs guilt industry vs inferiority identity vs role confusion

Severe preeclampsia symptoms with seizure activity or coma. Eclampsia A variant of gestational hypertension where hematologic conditions coexist with severe preeclampsia and hepatic dysfunction. HELLP syndrome Hypertension beginning after the 20th week of pregnancy with no proteinuria. Gestational Hypertension Impaired tolerance to glucose with the first onset or recognition during pregnancy. Gestational Diabetes Severe morning sickness with unrelenting, excessive nausea or vomiting that ...

A nurse is reviewing the ABG results of a client who the provider suspects has metabolic acidosis. what would the nurse expect to see pH below 7.35 a pt is experiencing SOB, fatigue, JVD, the nurse auscultates a third heart sound (S3), what should the nurse anticipate as the cause of these s/s HF a nurse is administering potassium chloride elixer 40mEq divided into 2 equal doses every 12 hours, available is 6.7 mEq/5mL. how many mL should the nurse administer per dose? 30mL a nurse is cari...