A client is pregnant for the sixth time. She tells the nurse that she has had three elective first-trimester abortions and that she has a son who was born at 40 weeks' gestation and a daughter who was born at 36 weeks' gestation. In calculating the gravidity and para (parity), what does the nurse determine?
A. Gravida 6, para 2
B. Gravida 2, para 6
C. Gravida 2, para 2
D. Gravida 3, para 6
Ans: A. Gravida 6, para 2
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Following the identification of low levels of T3 and T4 coupled with the presence of a goiter, a 28-year-old female has been diagnosed with Hashimoto thyroiditis In light of this diagnosis, which of the following assessment results would constitute an unexpected finding?
A) The presence of myxedema in the woman's face and extremities B) Recent weight gain despite a loss of appetite and chronic fatigue C) Coarse, dry skin and hair with decreased sweat production D) Increased white cell count and audible crackles on chest auscultation
You test a patient for temperature sensation. Why is this test included?
a. It is part of the routine sensory assessment. b. Abnormal findings in superficial pain sensation were found. c. It is recommended for all patients over the age of 40. d. This test is more discriminating in patients with diabetes than the tests for touch and pain.
A 35-year-old male is concerned about his inability to sustain an erection. Which assessment questions would provide specific information about this condition?
1. "What medications, including prescription, over-the-counter, herbal, and street drugs, do you use?" 2. "Are you married?" 3. "What kind of work do you do?" 4. "Did you graduate from college?"
The nurse observes a thick, tannish-brown covering over a large wound and needs to stage the wound. What action by the nurse is most appropriate?
a. Removing this covering with a sterile forceps and scissors b. Filling the base of the patient's ulcer with a silicone lotion c. Placing a hydrocolloid dressing directly over the tannish-brown covering d. Deferring staging until the tannish-brown covering has been removed