The nurse is admitting a client to the labor and delivery unit. Which aspect of the client's history requires notifying the physician?
1. Blood pressure 120/88
2. Father a carrier of sickle-cell trait
3. Dark red vaginal bleeding
4. History of domestic abuse
3
Explanation: 3. Third-trimester bleeding is caused by either placenta previa or abruptio placentae. Dark red bleeding usually indicates abruptio placentae, which is life-threatening to both mother and fetus.
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The nurse is caring for a patient who had a radical neck dissection for treatment of a malignant tumor. Which of the following nursing assessments would be a priority for this patient?
A) Presence of acute pain and anxiety B) Tissue integrity and color of the operative site C) Respiratory status and airway clearance D) Self-esteem and body image
The nurse is caring for a client diagnosed with hypovolemic shock. Which outcome would be the best evidence of an improvement in client condition?
A) A rise in blood count B) Alertness in level of consciousness C) Increased heart rate D) Pulse oxygenation level of 92%
A nurse is reviewing a client's pathology report which notes the presence of intracellular hyaline. What condition does the nurse identify as an example where intracellular hyaline may be present?
A) Scar tissue B) Arteriosclerosis C) Decreased vascularity D) Tumor
Which of the following was initiated to help ensure that the quality and safety of care was not compromised?
a. CQI c. TEFRA b. HSA d. PPO