A client calls the labor and delivery unit and tells the nurse that she is 39 weeks pregnant and that over the last 4 or 5 days, she has noticed that although her breathing has become easier, she is having leg cramps, a slight amount of edema in her
lower legs, and an increased amount of vaginal secretions. The nurse tells the client that she has experienced which of the following? 1. Engagement
2. Lightening
3. Molding
4. Braxton Hicks contractions
2
Explanation: 2. Lightening describes the effect occurring when the fetus begins to settle into the pelvic inlet.
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The nurse assesses a resident who was transferred yesterday from an acute care hospital. Which should the nurse assess to determine whether this individual is under stress from the transfer?
a. Length of the resident's stay in the acute care facility b. Availability of disposition options before the transfer c. Presence of familiar people throughout the transfer d. Tour of the new facility shortly after transfer
A client is wearing a Holter monitor in order to undergo a prescribed ambulatory electrocardiogram. Which of the following precautions should the client take during an ambulatory electrocardiography test?
A) Insulate all metal detectors. B) Avoid taking sponge baths. C) Avoid showering or swimming. D) Use an electric blanket rather than heavy cloth blankets.
Which of the following is the most important instruction a nurse should give a client with a mild case of bunions?
A) Avoid strenuous exercise or running. C) Don proper footwear. B) Avoid foot creams. D) Regularly use analgesics.
A male patient with an arm cast states that he is unable to straighten his fingers. The nurse notes that the patient is experiencing Volkmann's contracture, which is due to:
A) Obstructed arterial blood flow to the forearm and hand B) Obstructed venous blood flow from the forearm and hand C) The cast being applied too loosely D) Muscle spasm of the forearm