The nurse is reviewing the assessment findings of a client who is at 35 weeks' gestation. Which data suggest the need for further investigation?
1. Glycosuria
2. Funic souffle
3. Pseudoanemia
4. Melasma gravidarum
1
Explanation:
1. Glycosuria (glucose in the urine) during pregnancy may be normal or may indicate gestational diabetes, so it always warrants further testing.
2 Funic souffle is a normal assessment finding associated with the pulsing of blood through the umbilical cord.
3. Physiologic anemia of pregnancy or pseudoanemia is common during pregnancy and is an expected finding.
4. Facial chloasma or melasma gravidarum (also known as the "mask of pregnancy") is a harmless darkening of the skin over the cheeks, nose, and forehead that sometimes accompanies pregnancy.
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A patient is suffering from shortness of breath. How should the nurse write the expected outcome for this patient?
a. "The patient will be comfortable by the morning." b. "The patient will breathe unlabored at 14 to 18 breaths per minute by the end of the shift." c. "The patient will not complain of breathing problems." d. "The patient will appear less short of breath."
The nurse is aware that the basic drive behind the patient's anorexia nervosa is to:
a. be sexually desirable by staying slender. b. be involved with preparation of food, but not eating it. c. punish self by denial of adequate nutri-tion. d. gain a sense of control by limiting food intake.
What information provides the nurse with accuracy when developing a nursing diagnosis?
A) A set of lab values B) Abnormal diagnostic tests C) A set of clinical cues D) Specific nursing interventions
The nursing assistant must know the location of the MSDS in her work area.
Answer the following statement true (T) or false (F)