The nurse notes clubbing of the nails during the physical assessment. Based on this data, which condition does the nurse suspect?
1) Iron deficiency anemia
2) Hypoglycemia
3) Hyperthyroidism
4) Polycythemia
ANS: 4
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The client has received several units of citrated blood very quickly. The nurse notes that the client now has hyperreflexia. What electrolyte disturbance is the client most likely to be experiencing?
1. Hypokalemia 3. Hypermagnesemia 2. Hypocalcemia 4. Hyperphosphatemia
A pregnant patient asks the nurse what "teratogenic effect of medications" means. The nurse states that it is:
1. the ability to cause damage to the pregnant woman. 2. a type of anaphylactic reaction in the pregnant woman. 3. the ability to cause damage to the fetus. 4. a term for stating the therapeutic effect of the medication for the fetus.
The nurse is caring for a patient with an intracranial pressure monitoring device. What is the priority nursing diagnosis (NDX) for this patient?
1. Risk for Infection 2. Ineffective Thermoregulation 3. Risk for Impaired Skin Integrity 4. Impaired Physical Mobility
The client has preeclampsia and might require magnesium sulfate therapy. Which assessment is a critical assessment parameter by the nurse? Which assessment does the nurse prioritize?
1. Fetal heart sounds 2. Deep tendon reflexes 3. Peripheral edema 4. Breath sounds