The nurse receives a call from a client who is 38 weeks pregnant who says she found a clump of mucus streaked with blood in her underwear and asks what this means. The nurse's best reply is:
1. "You might have placenta previa, and should get to the hospital right away."
2. "It indicates the start of labor, and the contractions should start very soon."
3. "You passed your mucus plug, and will probably begin labor within 48 hours."
4. "It might indicate an infection, and you should be seen by the physician today."
3
Rationale: The collection of mucus that collects to block the cervix from infection generally passes as the cervix begins to dilate, and it indicates that labor will likely begin within 48 hours.
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A patient presents in crisis. She tells the nurse, "I cannot take it anymore! It has to stop. Last year my husband had an affair, and we do not communicate anymore
Three months ago I found a lump in my breast, and yesterday my 20-year-old daughter told me she is quitting college and moving to another state with her boyfriend.". The nurse can make the assessment that crisis intervention is successful when the patient: a. resolves her grief regarding the actual and potential losses in her life. b. permits others to make decisions for her until her anxiety is reduced. c. develops a higher degree of resilience to use when facing future crises. d. learns to respond more calmly and logically in crisis situations.
A patient has recently been diagnosed with heart failure and has been put on a low sodium diet in the hospital. In addition, the patient has a fluid restriction
The nurse should suggest that half the total oral fluid allotment occur between which two times? a. 7 AM; 7 PM b. 3 AM; 3 PM c. 7 AM; 3 PM d. 3 PM; 7 AM
A 71-year-old woman has complained of chest pain that appears when she is doing housework or climbing stairs. The woman claims that the pain dissipates when she stops exerting herself and rests for a few minutes
The woman's history, combined with these complaints, prompted her primary care provider to order cardiac catheterization. What instructions should the nurse provide this patient in anticipation of her procedure? A) "After the test is done, you can resume your normal activity as soon as you feel ready." B) "You'll be put under general anesthetic for the procedure, and you'll wake up when it's done." C) "A small amount of bleeding from your puncture site is normal for a day or two after the procedure." D) "Make sure that you don't eat or drink before the procedure."
A structural, functional, or body chemistry abnormality that exists at birth that causes physical or mental disability or death is called a:
What will be an ideal response?