Which one of the following findings would alert the nurse to the development of HELLP syndrome in a pregnant client?
A) Hyperglycemia
B) Elevated platelet count
C) Disseminated intravascular coagulopathy (DIC)
D) Elevated liver enzymes
D
Response:
HELLP is an acronym for hemolysis, elevated liver enzymes, and low platelets. Hyperglycemia is not a part of this syndrome. HELLP may increase the woman's risk for DIC.
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A rehabilitation nurse is caring for an older adult client who states, "I tire easily." How should the nurse respond? (Select all that apply.)
a. "Schedule all of your tasks for the morning when you have the most energy." b. "Use a cart to push your belongings instead of carrying them." c. "Your family should hire someone who can assist you with daily chores." d. "Plan to gather all of the supplies needed for a chore prior to starting the activity." e. "Try to break large activities into smaller parts to allow rest periods between activities."
A patient taking diltiazem (Cardizem) for hypertension has come to the clinic for a follow-up appointment. What adverse effects would the nurse assess the patient for?
A) Chest pain and pale skin B) Shortness of breath and wheezing C) Peripheral edema and bradycardia D) Tachycardia and increased energy level
After fitting the sleeve of the sequential compression device onto the client's legs, which action should the nurse take next?
1. Documenting the procedure 2. Turning the machine on 3. Connecting the sleeve to the control unit 4. Adjusting the alarms
The nurse says to a newly diagnosed diabetic patient, "I will be working with you during your 3-day stay to help you practice insulin injections and to review your new diet. I'm wondering if we could find a time of day to begin the teaching sessions that is good for us." This conversation would occur in which phase of the nurse-patient relationship?
a. Acquaintance phase b. Orientation phase c. Working phase d. Termination phase