The nurse is caring for a client who is 10 weeks gestation and palpates the fundus at 2 fingerbreaths above the pubic symphysis. The client reports nausea, vomiting and scant dark brown vaginal discharge. Which action should the nurse take? a. Measure vital signs b. Recommend bed rest c. Collect urine sample for urinalysis d. Obtain human chononic gonadatropin levels
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- The nurse is discussing therapy with clomiphene (Clomid) with a husband and wife who are considering trying this drug as part of treatment for infertility. It is important that they be informed of which possible effect of this drug? a) Increased menstrual flowb )Increased menstrual crampingc) Multiple pregnancy (twins or more)d )SedationA client at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication? Question 37 options: a) The client complains of an increase in vaginal discharge b) The client says she feels pressure against her diaphragm when the baby moves c) The client has 1 pedal edema in both feet at the end of the day d) The client’s urine test is positive for glucose and ketonesJ.D. is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60. What subjective information should the nurse obtain? The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia? The nurse needs to assess the patient for a hernia. What is the proper procedure for this assessment?
- The nurse is caring for a patient who is 1 hour postpartum after a normal vaginal delivery. She is receiving oxytocin to control uterine atony and postpartum hemorrhage. What does the nurse need to know about postpartum hemorrhage?The nurse is arriving at the beginning of her shift and has taken report on four clients on medicalsurgical unit. Which client should the nurse see first?a. A client with pyelonephritis with nausea and vomiting.b. A client with chronic obstructive pulmonary disease with an oxygen saturation of 90% on roomair.c. A client post total abdominal hysterectomy with 9/10 abdominal paind. A client post-prostatectomy with bright red blood and clots in his catheter.The nurse understands that which breast assessment finding is considered normal for the client who gave birth less than 24 hours ago? a. Firm , hard to palpation b. Thin yellow drainage is noted from the nipple . c. Cracks are noted in the nipple d. Red streaks surround the areola
- When teaching a patient who is taking oral contraceptive therapy for the first time, the nurse relates that adverse effects may include which of the following? a )Dizzinessb )Nauseac )Tingling in the extremitiesd )PolyuriaA nurse is teaching a student nurse how to cleanse theperineal area of both male and female patients. What areaccurate guidelines when performing this procedure? Selectall that apply.a. For male and female patients, wash the groin area with asmall amount of soap and water and rinse. b. For a female patient, spread the labia and move the wash-cloth from the anal area toward the pubic area. c. For male and female patients, always proceed from themost contaminated area to the least contaminated area.d. For male and female patients, use a clean portion of thewashcloth for each stroke. e. For a male patient, clean the tip of the penis first, mov-ing the washcloth in a circular motion from the meatus outward. f. In an uncircumcised male patient do not retract the fore-skin (prepuce) while washing the penis.Sandra, 30 year old, primigravida consulted the Obstetrical Unit for a prenatal visit. She complains of abdominal pain and vaginal bleeding. She was diagnosed as Pregnancy Uterine 28 weeks AOG, Gestational Hypertension. Which of the following assessments should the nurse perform first? a. Assess strength of contractions b. Assess serum electrolytes c. Assess urinary output d. Assess fetal heart tones
- A client at 30 weeks gestation is admitted to the maternity unit with vaginal bleeding. What should be the RN’s initial nursing response? Question 31 options: a) Count and weigh peripads b) Start an intravenous infusion drip c) Assess blood pressure and pulse d) Observe for pallor, clammy skin, and perspirationA 32 year old G1PO seeks consult for initial obstetric visit. Diagnostic procedures are requested and medications are given by the Obstetrician-Gynecologist. The nurse is conducting health teaching At 20 weeks age of gestation, all of the following developments in the fetus has already occurved: (SELECT ALL THAT APPLY) a. Urine production has began b. Start production of lung surfuctants c. Gender can be determined by UTZ d. Physiologic herniation of the gut has occured e. Downy lanugo hair surrounds the skinHow will the nurse evaluate for effectiveness of Nitrofurantoin? A. The patient will have no more pain with urination. B. The patient will have no growth on urine culture. C. The patient will have no numbness or tingling. D. The patient wull have no adequate urinary output