A 26-year-old woman has an elevated AFP. The first action should be to
a. schedule an amniocentesis as soon as possible
b. disregard the test since the client is under 35
c. ensure that the gestational age is accurate
d. refer the woman for genetic counseling
C
Elevated AFP during the first trimester is indicative of a neural tube anomaly, so the first action to be taken when an elevated AFP occurs is to check the gestational age of the fetus.
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A 40-year-old woman reports a change in mole size, accompanied by color changes, itching, burning, and bleeding over the past month. She has a dark complexion and has no family history of skin cancer, but she has had many blistering sunburns in the past
The nurse would: a. Tell the patient to watch the lesion and report back in 2 months. b. Refer the patient because of the suggestion of melanoma on the basis of her symptoms. c. Ask additional questions regarding environmental irritants that may have caused this condition. d. Tell the patient that these signs suggest a compound nevus, which is very common in young to middle-aged adults.
How would the nurse document a rash that has erythematous, circular raised lesions?
a. Macular b. Papular c. Vesicular d. Pustular
The nurse is caring for a patient who experiences anxiety and insomnia and is prescribed benzodiazepines. When developing the plan of care, what would be an appropriate nursing diagnosis related to potential adverse effects of the drug?
A) Provide patient teaching about drug therapy. B) Anxiety related to drug therapy. C) Risk for injury related to central nervous system (CNS) effects. D) Avoid preventable adverse effects, including abuse and dependence.
The nurse performs vision and hearing screening at the school to identify students who may need referrals for further testing. A responsibility of the nurse in screening is to:
1. Monitor that students who need glasses wear them. 2. Send letters home to parents reminding the students to wear the glasses. 3. Follow up on referrals made to determine outcomes for those students with vision or hearing problems. 4. Ask the teachers if they are aware of any other problems with students in the classroom.