A nurse is assessing a 40-year old primigravida who is an insulin-dependent diabetic and who smokes. What does the nurse understand about these conditions related to prenatal screening tests?
A.
Second-trimester markers will be affected but not third-trimester markers.
B.
The presence of nicotine invalidates the results of most screening tests.
C.
The woman will have an overall effect of a higher inhibin level.
D.
There is no significant effect on prenatal screening test results.
ANS: C
Inhibin levels are increased by about 60% in women who smoke and decreased by about 12% in insulin-dependent diabetics. The overall effect will be an increased inhibin level.
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A client lives alone. He is very weak, stays in bed most of the time, and becomes fatigued after taking only two or three steps with a walker. His personal hygiene is poor. He moves very slowly when doing even small tasks such as eating a meal
Which of the following are appropriate interventions for this patient? Choose all that apply; assume all are possible. 1) Arrange for a home aide to assist with activities of daily living. 2) Refer the client to a senior center for an adapted physical activity program. 3) Assess the patient for symptoms of depression and memory loss. 4) Arrange for nutritious meals to be delivered to the patient's home.
After client teaching about methylphenidate HCL, which statement by the client would indicate further teaching is necessary?
a. "I should take this medication early in the day." b. "I should ask my doctor about my anticoagulant medication." c. "This medication may cause physical dependence." d. "This medication is safe to take with my MAO inhibitor."
How are values codified?
A) Religion B) Nature C) Time D) Activity
The charge nurse is reviewing the healthcare plans written by the unit's staff nurses. Which NANDA nursing diagnosis is most likely to be construed as culturally biased and possibly offensive?
1. Fear related to separation from support system during hospitalization 2. Spiritual Distress related to discrepancy between beliefs and prescribed treatment 3. Interrupted Family Processes related to a shift in family roles secondary to demands of illness 4. Noncompliance related to impaired verbal communication secondary to recent immigration from non–English-speaking area