You are obtaining an obstetric history for a client at 9 weeks' gestation that includes the following: This is her fifth pregnancy
She had one baby at 28 weeks, followed by a spontaneous abortion at 12 weeks, another spontaneous abortion at 18 weeks, and most recently a pregnancy loss at 20 weeks. You anticipate her care will include: A) placement of a cerclage at 15-16 weeks. B) weekly nonstress tests, starting at 22 weeks. C) initiation of terbutaline therapy. D) complete bedrest for the remainder of the pregnancy.
A
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While performing the assessment of the client's peripheral vascular system, the nurse notes that there was a rapid filling of superficial veins during the Trendelenburg test. This data is consistent with which disorder?
1. Valve incompetence. 2. Arterial insufficiency. 3. Venous insufficiency. 4. Phlebitis.
The nurse is creating a plan of care for a patient with a cardiomyopathy. What priority goal should underlie most of the assessments and interventions that are selected for this patient?
A) Absence of complications B) Adherence to the self-care program C) Improved cardiac output D) Increased activity tolerance
A 6-year-old boy has been admitted to the hospital with burns. The nurse notes carbonaceous sputum. What is the priority nursing intervention?
A) Obtain a brief history. B) Elicit a description of the burn. C) Obtain an in-depth history. D) Obtain a brief history, evaluate, and provide emergency care.
A client is diagnosed with mitral insufficiency, and the nurse detects a murmur with a musical quality over the apex of the heart. The nurse recognizes this is caused by:
A) regurgitation of blood from the left ventricle into the left atrium. B) enlargement of the right ventricle due to increased pressure in the right atrium. C) regurgitation of blood from the right ventricle into the right atrium. D) regurgitation of blood from the aorta into the left ventricle.