Free NCLEX-RN Exam Braindumps (page: 110)

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A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates the physician ordering:

  1. Oxytocin
  2. Magnesium sulfate (MgSO4)
  3. Ampicillin
  4. Tetracycline

Answer(s): C

Explanation:

(A) Oxytocin is prescribed to stimulate uterine contractions. (B) MgSO4is a central nervous system depressant prescribed to prevent and control convulsions related to preeclampsia. (C) Ampicillin is a penicillin derivative with no known teratogenic effects.
This is the safest antibiotic during pregnancy. (D) Tetracycline stains teeth yellow and is not as safe as ampicillin during pregnancy.



A client who is 7 months pregnant is diagnosed with pyelonephritis. The nurse anticipates the physician ordering:

  1. Oxytocin
  2. Magnesium sulfate (MgSO4)
  3. Ampicillin
  4. Tetracycline

Answer(s): C

Explanation:

(A) Oxytocin is prescribed to stimulate uterine contractions. (B) MgSO4is a central nervous system depressant prescribed to prevent and control convulsions related to preeclampsia. (C) Ampicillin is a penicillin derivative with no known teratogenic effects.
This is the safest antibiotic during pregnancy. (D) Tetracycline stains teeth yellow and is not as safe as ampicillin during pregnancy.



A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering:

  1. Digoxin (Lanoxin) 0.25 mg po every day
  2. Furosemide (Lasix) 40 mg po every morning
  3. O22 L/min via nasal cannula
  4. Nitroglycerin (Nitrol) 1 inch topically every 4 hours

Answer(s): A

Explanation:

(A) Digoxin is a cardiac glycoside given to clients in heart failure to improve their myocardial contractility. (B) Furosemide is a loop diuretic given to clients in heart failure to promote diuresis. (C) O2is given to clients in heart failure to increase oxygenation and to prevent or treat hypoxemia. (D) Nitroglycerin is a nitrate given to clients in heart failure to increase their cardiac output by decreasing the peripheral resistance that the left ventricle must pump against.



A male client has been hospitalized with congestive heart failure. Medical management of heart failure focuses on improving myocardial contractility. This can be achieved by administering:

  1. Digoxin (Lanoxin) 0.25 mg po every day
  2. Furosemide (Lasix) 40 mg po every morning
  3. O22 L/min via nasal cannula
  4. Nitroglycerin (Nitrol) 1 inch topically every 4 hours

Answer(s): A

Explanation:

(A) Digoxin is a cardiac glycoside given to clients in heart failure to improve their myocardial contractility. (B) Furosemide is a loop diuretic given to clients in heart failure to promote diuresis. (C) O2is given to clients in heart failure to increase oxygenation and to prevent or treat hypoxemia. (D) Nitroglycerin is a nitrate given to clients in heart failure to increase their cardiac output by decreasing the peripheral resistance that the left ventricle must pump against.



Page 110 of 431



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