A woman tells the nurse that she is quite sure she is pregnant. The nurse recognizes which as a positive sign of pregnancy?

a. Amenorrhea
b. Uterine enlargement
c. HCG detected in the urine
d. Fetal heartbeat


ANS: D
Positive indications are caused only by the developing fetus and include fetal heart activity, visualization by ultrasound, and fetal movements felt by the examiner.

Nursing

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The patient is on postoperative day 1 after having undergone a TURP procedure. He has continuous bladder irrigation (CBI)

Actual urine output during continuous bladder irrigation is calculated by: a. measuring and recording all fluid output in the drainage bag. b. measuring the total output and deducting the total of the irrigating and intravenous solutions. c. adding the total of the intravenous and irrigating solutions and then deducting the amount of output. d. measuring total output and deducting the amount of irrigating solution used.

Nursing

The technique that is least susceptible to response-set bias is:

A) Interviews B) Vignettes C) Questionnaires D) Projective measures

Nursing

Gender-appropriate care is an important factor in nursing practice. The nurse recognizes that clients of different cultures may react differently to health care professionals of the opposite sex

Modesty is an especially important issue for women from which of the following backgrounds? a. Black Canadian b. Aboriginal c. Egyptian Canadian d. Filipino Canadian

Nursing

You are giving discharge instructions to a patient who will be taking antacid for gastric problems. Which response is correct when taking antacids? (Select all that apply.)

1. Antacids must be taken with a lower fiber diet. 2. Antacids should be taken at HS. 3. Antacids serve as a gastric buffer. 4. Antacids must be taken between meals.

Nursing