The multiple marker test is used to assess the fetus for which condition?

a. Down syndrome c. Congenital cardiac abnormality
b. Diaphragmatic hernia d. Anencephaly


ANS: A
The maternal serum level of alpha-fetoprotein is used to screen for Down syndrome, neural tube defects, and other chromosome anomalies. The multiple marker test would not detect diaphragmatic hernia, congenital cardiac abnormality, or anencephaly. Additional testing, such as ultrasonography and amniocentesis, would be required to diagnose these conditions.

Nursing

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The nurse would include which activities when planning care to increase comfort for the intubated patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply

1. Speak directly to the patient by looking into the patient's eyes. 2. Keep the patient sedated and let the patient sleep when giving care. 3. Give additional pain medication whenever restlessness is noted. 4. Establish a communication method that does not require talking. 5. Keep the family at the bedside to interpret the patient's needs.

Nursing

Your client has returned from a parathyroidectomy and must be monitored for hypocalcemia. The nurse should assess for:

A) muscle cramps, tingling, tetany. B) flaccid paralysis. C) bradycardia and weight loss. D) hypotension and headache.

Nursing

FACES pain rating scale is:

1. A behavioral scale that assigns a number value for facial expression, leg movement, activity/restlessness, cry intensity/continuity, and consolability. 2. Recommended for 1 to 3-year-olds. 3. Intended for ages newborn to 4-years-old. 4. A self-reporting rating scale that assigns a number value to a facial expression to be chosen by a child.

Nursing

Which of the following clinical findings among older adults is most unlikely to warrant further investigation and possible treatment?

A) An 81-year-old male's serum creatinine level has increased sharply since his last blood work. B) A 78-year-old female's GFR has been steadily declining over several years. C) A 90-year-old female's blood urea nitrogen (BUN) is rising. D) An 80-year-old male whose urine dipstick reveals protein is present.

Nursing