A pregnant patient overhears the examiner referring to a positive Hegar sign and asks what this means. Which response by the nurse best explains this sign?
A. Hegar sign refers to the softening of the cervix during the early stages of pregnancy.
B. Hegar sign refers to the softening of the lower uterine segment during pregnancy.
C. Hegar sign refers to the skin changes noted in early pregnancy.
D. Hegar sign refers to the changes in color of the vaginal mucosa during pregnancy.
Answer: B
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The rehabilitation nurse is working closely with a patient who has a new orthosis following a knee injury. What are the nurse's responsibilities to this patient? Select all that apply
A) Help the patient learn to apply and remove the orthosis. B) Teach the patient how to care for the skin that comes in contact with the orthosis. C) Assist in the initial fitting of the orthosis. D) Assist the patient in learning how to move the affected body part correctly. E) Collaborate with the physical therapist to set goals for care.
During a clinic interview, a client states he has been experiencing dizziness upon standing. Which nursing action is appropriate for the nurse to implement?
a. Ask the client when in the day dizziness occurs. b. Help the client to assume a recumbent position. c. Measure both heart rate and blood pressure with the client standing. d. Measure vital signs with the client supine, sitting, and standing.
The team leader is preparing to tape the evening shift report. The comment that should be included in the report is that:
1. client A complained of a headache until his wife arrived to visit. She was 20 minutes late because of unavoidable traffic. 2. client B ate everything on her dinner tray—roast beef, mashed potatoes, and green beans—and the dessert too, which is her usual pattern. 3. client C was so restless that the dressing on her sacrum came off and had to be replaced. There was no change in the assessment of the decubitus. 4. client D had her usual visitors. She is sleeping after her regular evening medica-tions, which were given as ordered at 8 PM.
The nurse is providing education for a client about the characteristics of Alzheimer's disease. Which information should the nurse include?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. More women than men have Alzheimer's disease. B. The disease is characterized by the degeneration of the neurons. C. Chronic inflammation of the brain may be a cause of the disease. D. The disease mainly affects people over 50 years of age.