A primigravida of 28 years of age is admitted to the antepartum unit with a diagnosis of hyperemesis gravidarum. Nursing care is based on which of the following?
a. She should be isolated from her family.
b. This condition is caused by psychogenic factors.
c. The treatment is similar to that for morning sickness.
d. She should be assessed for signs of dehydration and starvation.
ANS: D
The cause of hyperemesis gravidarum is unknown, but dehydration and starvation are the major complications. Emotional support is essential to the care of this client. She needs the opportunity to express how it feels to live with constant nausea. The cause is unknown. The first attempts to control the nausea are to treat it like morning sickness, but if treatment is not successful, further care is needed.
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A. Call the nursing supervisor to discuss the situation B. Discuss the problem with a colleague C. Leave the nursing unit and go home D. Say nothing and begin your work
The nurse observes yellow-tinged sclera in a client with dark skin. Based on this assessment finding, what does the nurse do next?
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A woman identifies a breast lump during self-examination. Examination by her health care provider reveals a 2-cm mass in her breast with axillary node enlargement. The presence of enlarged lymph nodes in the woman's axilla may be interpreted as:
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Which is not a major barrier to evidence-based practice in nursing?
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