A pregnant client is admitted to the emergency department with bleeding. The nurse realizes that the client might have placenta previa. Which signs would be suggestive of placenta previa?
1. Bright red vaginal bleeding
2. Sudden onset of vaginal bleeding
3. Firm and hard uterus
4. Change in the size of abdomen
1
Explanation: 1. As the lower uterine segment contracts and dilates, the placental villi are torn from the uterine wall, causing bright red bleeding.
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A patient with an intense fear of cats reports that after 2 weeks of therapy, she no longer sweats or becomes nauseated when she sees a cat on television but still cannot be in the same room with a cat
The nurse would interpret this change as meaning that the patient: a. is responding to therapy, and the current treatment can continue. b. is responding, but slowly, and her treatment plan should be changed. c. has unrealistic expectations and will always need to avoid cats. d. is deteriorating and requires medication and more intensive therapy.
A patient tells the nurse that he gets off of the drugs for awhile and then in a few months finds himself "hanging out in the same places" where he knows he can easily get drugs
With which of the following statements should the nurse respond to this patient? 1. "This is drug-seeking behavior and is in response to a craving. What can you do instead of going to the places where you can get drugs?" 2. "This is because you are an addict and need the drugs.". 3. "This will happen for the rest of your life. There isn't anything that you can do to change it.". 4. "Have you considered using a less addictive type of drug instead of the same kind that you used to use?"
At a well-child visit, the mother of a 2-year-old asks about diet information. The child needs a 1000-calorie diet. The nurse informs the mother that:
a. Her child needs 4 to 5 cups of milk per day b. Her child needs 23 grams of protein per day c. Her child needs to drink skim milk or low-fat milk d. Her child needs to drink whole milk
A school nurse is performing hearing screening on school children. The nurse recognizes that distortion of sound and problems in discrimination are characteristic of which type of hearing loss?
a. Conductive b. Sensorineural c. Mixed conductive-sensorineural d. Central auditory imperceptive