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Which techniques should the nurse use to assess for respiratory distress? (Select all that apply.)

A client who is 30 weeks pregnant is admitted to the Birthing Center with contractions every 3 to 4 minutes, -1 station, 50% effaced and 3 cm cervical dilation.  After starting an IV, the nurse administers betamethasone sodium phosphate (Celestone Phosphate) 2 ml IM.  The client asks the nurse why she is receiving the betamethasone.  Which response should the nurse offer?  

You are the RN caring for patients awaiting surgery. Which actions will you verify with the patient prior to anesthesia induction and are also confirmed with all members of the surgical team during the Time-Out? (Select all that apply.)

Several hours after being admitted to the acute care, the nurse finds the infant to have increased retractions, now including subclavicular, intercostal, and subcostal retractions along with tracheal tugging and nasal flaring. The infant continues to have wheezing with a respiratory rate of 80 breaths/min, oxygen saturation of 86% on blow by oxygen and a temperature of 102.1 °F. The infant appears dusky, fatigued, and slow to react.  Which nursing actions are indicated for the infant’s care at this time? Select all that apply.  

The nurse is making a care plan for a patient with Peptic Ulcer Disease (PUD). Please select answers that are appropriate goals for this type of patient.  1) The patient with PUD will [one] the prescribed therapeutic regimen. 2) The patient will see a(n) [two] in discomfort. 3) Have no signs of [three] complications.  4) Have complete healing of the peptic [four]. 5) Make appropriate lifestyle changes to prevent [five].  

The nurse is caring for a patient who has just been prescribed IV Oxytocin (Pitocin) for their induction of labor. The nurse’s subsequent assessments should address the risk for which complication of oxytocin use?

During a prenatal exam, the woman reports having two cats at home. The nurse informs her that she should not be cleaning the litter box while she is pregnant. When the woman questions the nurse as to why, the nurse’s best response would be:

Which tests aid in the diagnosis of cystic fibrosis?

You are caring for a 5-year-old with Type 1 diabetes in the school setting. The substitute teacher calls you to the classroom, as the child is verbally responsive and asks for her daddy, saying she feels “low.” The child wears a continuous glucose monitor (CGM), which is alarming as the blood glucose level is low at 59 mg/dl. You quickly repeat the test with the glucometer and get the same result. Which of the following actions is initially the most appropriate? 

Which of the following are signs of magnesium toxicity in a client? [magtox] What medication should you be ready to give? [magantidote]