The nurse notes that a pregnant patient is experiencing chloasma on the face. For which reason does the change occur during pregnancy?
1) Increased estrogen levels
2) Increased hemoglobin production
3) Decreased testosterone production
4) Fluid retention
ANS: 1
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The client comes to the clinic and says to the nurse, "I am coming in today to see the doctor because I started having diarrhea 2 days ago and am going six to eight times per day." How would the nurse document this statement?
A) Concern: Client is afraid he is going to be dehydrated from the amount of diarrhea he is having. B) Problem: Client is having diarrhea at least six to eight times per day. C) The client is having diarrhea and wants to see the physician. D) Chief complaint: "Diarrhea began 2 days ago and having six to eight stools per day."
You are caring for a patient admitted to the orthopedic unit in skeletal traction. You know that this patient is at increased risk for a DVT. What would you do to decrease the risk of DVT in this patient?
A) Pretend to ride a bicycle while you lay in bed. B) Allow the patient to assist with passive range-of-motion exercises. C) Encourage the patient to perform active ROM exercises on the affected leg. D) Do foot and ankle exercises every 1 to 2 hours while awake.
The nurse is caring for a school-aged child who had a bone marrow transplant for treatment of leukemia several weeks ago. The child requires protective isolation and infection prevention but is beginning to feel better and is more active
A priority nursing consideration for this client is: 1. Arranging for educators to begin helping the child catch up with school work. 2. Providing games and diversions to keep the child from becoming bored. 3. Preparing the child for discharge. 4. Reducing the risk of caregiver role strain by encouraging parents to take time away.
Breathing is rapid and deeper than normal. This is:
a. Bradypnea b. Tachypnea c. Hypoventilation d. Hyperventilation