A woman who is 36 weeks pregnant presents to the labor and delivery unit with a history of congestive heart disease. Which of the following findings should the nurse report to the primary health care practitioner?
A) Presence of chloasma
B) Presence of severe heartburn
C) 10-pound weight gain in a month
D) Patellar reflexes +1
C
10-pound weight gain in a month
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When caring for a new client with OCD, it is most important for the nurse to:
1. Not interrupt the ritual. 2. Teach ritual interruption skills. 3. Interrupt the ritual. 4. Teach about anti-anxiety foods.
The nurse is teaching a patient about hemodialysis. How should the nurse explain this process?
remove waste products as well as correct fluid and electrolyte imbalances. 2. It allows a choice of either diffusion osmosis or ultrafiltration to remove excess water from the body. 3. It adds potassium to the blood when passing through the dialyzer and works on the principle of diffusion. 4. It will add electrolytes and water to the blood when passing through a semipermeable membrane to correct electrolyte imbalances.
The staff is having a hard time getting an older adult patient to communicate. Which technique should the nurse suggest the staff use?
a. Allow the patient to reminisce. b. Try changing topics often. c. Involve only the patient in conversations. d. Ask the patient for explanations.
The patient is to start on sumatriptan (Imitrex) for migraine headaches. What will the best plan of the nurse include as it relates to this medication? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply
1. Plan to teach the patient not to drive until the effects of the medication are known. 2. Plan to teach the patient to avoid pseudoephedrine (Sudafed) with this medication. 3. Plan to teach the patient the importance of taking the medication with protein. 4. Plan to instruct the patient to take the medication with food to avoid ulcers. 5. Plan to teach the patient to increase fluid intake with this medication.