Which instructions are most important to include in a teaching plan for a client in early pregnancy that has class I heart disease?
a. She must report any nausea or vomiting.
b. She may experience mild fatigue in early pregnancy.
c. She must report any chest discomfort or productive cough.
d. She should plan to increase her daily exercise gradually throughout pregnancy.
C
Angina or a productive cough may signal congestive heart failure or pulmonary edema.
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An older adult female patient presents in the emergency department (ED) with a fever and newly developed incontinence
The patient denies pain on urination but states, "I feel like I have to go more often and I don't always make it to the toilet on time." Based on this data, which nursing action is the priority for this patient? 1) Checking reflexes 2) Assessing for flank pain 3) Inspecting the perineum 4) Assessing the rectum
The nurse is aware that pressure ulcers can occur: (Select all that apply.)
a. from any position that causes soft tissue compression. b. because of lack of blood flow (ischemia). c. only in bedbound patients. d. in as little as 90 minutes.
A client is diagnosed with chronic low back pain syndrome. The nurse realizes that which analgesic delivery route might be beneficial for this client?
1. Topical 2. Rectal 3. Transmucosal 4. Transdermal
What must the nurse do when preparing to write community diagnoses?
A. Choose a diagnosis from the 12 functional health patterns. B. Choose from an agency-approved list of NANDA diagnoses. C. Describe a situation and suggest an etiologic component focused on an aggregate. D. Use appropriate NANDA wellness-focused diagnoses. ANS: C