A gravida 2 para 1 client in the 10th week of her pregnancy says to the nurse, "I never have gone to the bathroom to urinate as often as I have for the past three weeks." Which response would be most appropriate for the nurse to make?
A) "Having to urinate so often is annoying. I would suggest that you watch how much fluid you are drinking and limit it."
B) "You shouldn't be urinating this frequently now. It usually stops by the time you are eight weeks' pregnant. Is there anything else bothering you?"
C) "By the time you are twelve weeks' pregnant, this frequent urination should no longer be a problem. Of course, it is likely to return toward the end of your pregnancy."
D) "Women having their second child generally don't have frequent urination. Are you experiencing any burning sensations?"
C
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A patient is admitted to the Neuro ICU with a spinal cord injury. When assessing the patient the nurse notes there is a sudden depression of reflex activity in the spinal cord below the level of injury. What does the nurse suspect?
A) Hypoactivity in reflexes B) Hypertension C) Spinal shock D) Hypovolemia
To detect crepitus in a patient with an esophageal perforation, the nurse should:
A) palpate the chest. B) inspect the chest. C) percuss the chest. D) auscultate the chest.
The nurse from the mobile treatment team learns that a local farmer is living in the woods behind his family's farm. His family is concerned about him because winter is coming and he comes into the house only for dinner
What should the nurse do initially? a. Call the police and ask if they can bring him to the hospital for evaluation and possible hospitalization in the psychiatric hospital. b. Tell the family that they cannot force him into treatment and it is up to him to want help. c. Arrange with the family for the nurse to come to the farmhouse for dinner to meet the farmer and try to establish a relationship with him. d. Tell the family to arrange better housing with adequate food and warmth in the woods.
After finalizing the nursing diagnoses, the nurse must choose the problem to address first. What is the most effective way of determining the top priority?
A. Ensuring it is reimbursable by third-party payers B. Based on the degree of community concern about the problem C. Comparing it with the agency's mission statement D. Discussing conclusions with another community/public health nurse