A patient has preeclampsia. She is 36 weeks pregnant, and comes to the high-risk screening center for a contraction stress test. The nurse should explain to the patient that the contraction stress test is being done to determine:
1. What effect her hypertension has had on the fetus.
2. Whether the fetus will be able to tolerate labor.
3. Whether fetal movement increases with contractions.
4. What effect contractions will have on her blood pressure.
2
Rationale 1: The fetal heart rate response to movement is assessed in a non-stress test.
Rationale 2: Contraction stress tests are performed to assess the ability of the fetus to tolerate labor.
Rationale 3: With contractions, the nurse is assessing for a heart rate response, not for movement.
Rationale 4: The effect of contractions on blood pressure would be noted, but this is not the purpose.
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A) Care should focus on the treatment of disease. B) A person's state of health is ever-changing. C) A person does not have varying degrees of illness. D) Care should focus on the patient's response to medications.
Which is the best nursing explanation for the symptom of polyuria in a client with diabetes mellitus?
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What assessment is most appropriate for the client receiving sodium nitroprusside?
A. Assess for chest pain. B. Assess blood pressure every 15 minutes. C. Monitor urinary output every 30 minutes. D. Observe the client's extremities for color and perfusion.
A client's sperm sample analysis reveals azoospermia. The nurse would ask about the presence of which diseases in the client's history?
1. Sexually transmitted infections 2. Erectile dysfunction 3. Mumps 4. Tuberculosis 5. Atherosclerosis