1. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following statement by the client requires immediate intervention by the nurse? A. “It burns when I urinate.” B. “My feet are really swollen today.” C. “I didn’t have lunch today, but I have breakfasted this morning.” D. “I have been seeing spot this morning.”
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1. A nurse is assessing a client who is at 37 weeks of gestation. Which of the following
statement by the client requires immediate intervention by the nurse?
A. “It burns when I urinate.”
B. “My feet are really swollen today.”
C. “I didn’t have lunch today, but I have breakfasted this morning.”
D. “I have been seeing spot this morning.”
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- 1. A pregnant client, gravida 1 para 0, comes to the labor and delivery area stating that she thinks she is in labor. She reports short, somewhat irregular contractions occurring in the lower portion of the abdomen that seem to lessen when she walks. Her estimated date of delivery is tomorrow. a. Is the client experiencing true labor? Why or why not? b. What information would be most important for the nurse to explain to the client about labor? 2, 3, 4 2. A postpartum client who is breastfeeding calls the clinic because her breasts have become quite tender. She is 4 days postpartum and is told to come to the clinic for evaluation. At the clinic, assessment reveals that her breasts are shiny and red, hard, and very warm to the touch. Her nipples are intact and her temperature is slightly elevated. The newborn has been feeding well and appears satisfied after breastfeeding. a. What would the nurse explain as the underlying condition occurring? b. What measures would be important for the…NER Which physical change would the nurse expec find in a pregnant client? Select all that apply. a. Increased blood volume b. Decreased clotting factors c. Supine hypotension d. Negative Hagar sign e. Increased hemoglobin Which interventions would a pregnant client b taught regarding dietary restrictions during pregnancy? Select all that apply. a. Discard foods that have been left out at rooF. Weighing the client daily at the same time and in the same clothes. 5. Molly, with suspected rheumatic fever, is admitted to the pediatric unit. When obtaining the child's history, the nurse considers which information to be most important? A A fever that started 3 days ago B. Lack of interest in food C. A recent episode of pharyngitis D. Vomiting for 2 days
- The nurse practitioner is performing a short assessment ofa newborn who is displaying signs of jaundice. The nurseobserves the infant’s skin color and orders a test for bilirubinlevels to report to the primary care provider. What type ofassessment has this nurse performed?a. Comprehensiveb. Initialc. Time-lapsedd. Quick priorityWhen the nurse is talking with a client who is experiencing "lightening." the client would most likely state which of the following? a. "lcan breathe easier now." b. I don't have to urinate as often now." c. My lower back pain is gone now. d. My feet are more swollen than before."SITUATION: Bella Bernardo 24 year old gravida 4 para 2 visits the prenatal clinic for her check-up. Her last LMP was August 21, 2020. Determine the age of gestation (AOGof the client on December 25, 2020. When will you advise the client to come back for her next visit a. After 2 weeks b. Anytime when she's Available c. Next month d. Next week
- When taking an obstetrical history on a pregnant client who states, "I had a son born at 38 weeks gestation, a daughter born at 30 weeks gestation and I lost a baby at about 8 weeks," the nurse should record her obstetrical history as which of the following? A. G2 T2 PO AO L2 B. G3 T1 P1 AO L2 C. G3 T2 PO AO L2 O D. G4 T1 P1 A1 L214) A newborn with a repaired gastroschisis is transferred to the pediatric unit after several days in the pediatric intensive care unit. The infant is receiving parental nutrition and continuous enteral feeding. To maintain normal growth and development of the infant, which action should the nurse includes in plan of care? A. Use sterile techniques during feedings. B. Offer a pacifier for non-nutritive sucking. C. Ensure placement of the enteral tube with an abdominal x-ray I D. Speak to the healthcare provider about instituting nhysical therapy.1. A nurse is caring for an adolescent who is 1 hour post-operative followingan appendectomy. Which of the following findings should the nurse report to theprovider?a. Heart rate 63 / minuteb. muscle rigidityc. temperature 36.4 Celsius (97.5 Fahrenheit)d. abdominal pain
- 1. To palpate for presence of inguinal hernia in a male client, the nurse needs to instruct the client to: a.Take a deep breath and hold for a moment b.Bear down or cough out c.Flex the hips and knee d.Exhale forcibly and hold for a moment 2. A client has just had an inguinal herniorrhaphy. Which of the following instructions would be MOST appropriate to include in his discharge plan? a.Maintain a high Fowler’s position while resting. b.Turning, coughing and deep breathing every 2 hours. c.Applying a truss before the client ambulates. d.Applying an ice bag to the scrotum. 3. Mr. Diaz a 50-year-old taxi driver was admitted to the medical- surgical unit with rectal bleeding and severe rectal pain. He was diagnosed with hemorrhoids for which he will be treated medically. This treatment will MOST likely include which of the following? a.A high fiber diet. b.A drink of one glass of water with each meal. c.A daily laxative regimen d.A well-balanced diet with cooked vegetables and fruits.…2. The nurse has just completed emergency delivery of a term infant. What is the priority nursing concern at this time? a. Controlling hemorrhage in the mother b. Removing the afterbirth C C c. Keeping the infant warm d. Cutting the umbilical cord1. An elderly client had recent surgery and is on bed rest. When planning care for the client, which nursing intervention is included in the care plan? a. Daily assessment of the wound site b. Foot and ankle range-of-motion(ROM) exercises c. Wound cleaning with hydrogen peroxide d. Coughing and deep breathing in the prone position