The nurse admits a client who is 12 weeks pregnant who reports brownish drainage from the vagina. The client has recently been discharged from the hospital, where she was admitted for rehydration secondary to hyperemesis gravidarum
The technician performs an ultrasound and shows the image to the physician, pointing out there is no fetus growing in the uterus. The physician orders a STAT serum quantitative HCG, which returns with higher-than-expected values. The nurse concludes that the client: 1. Is further into the pregnancy than expected.
2. Is pregnant with twins.
3. Is experiencing a threatened abortion.
4. Has gestational trophoblastic disease.
4
Rationale: Clients with gestational trophoblastic disease have an increase in trophoblast cell production with higher-than-normal HCG levels often resulting in hyperemesis gravidarum. It is not uncommon for clients to have vaginal bleeding resembling prune juice, although it can also be bright red in color.
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A nurse executive is considering initiating a blog to enhance communication among staff nurses, managers, and supervisors throughout the organization's different campuses
What serious considerations should the nurse make prior to starting a blog? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. Open access to the blog may damage recruiting efforts. 2. Blogs are difficult to use and expensive to maintain. 3. Users of the blog must be very careful not to divulge any information that would violate client confidentiality. 4. The organization's reputation may be altered by a blog. 5. Most nurses would likely not use the blog.
A Hispanic American patient who is 26 weeks pregnant asks if her curandero, or folk healer, may accompany her to all future prenatal appointments. Which response by the nurse reflects respect for the patient's cultural beliefs?
1. "Yes, we will work as a team as much as possible in taking care of you." 2. "National law prohibits the inclusion of anyone who is unlicensed to practice health care from giving health-related advice." 3. "Because of the risks to your baby, we do not recommend that patients use alternative healthcare methods." 4. "We prefer that only the father of the baby and your relatives accompany you to your prenatal visits."
According to the state Nurse Practice Act, authority is given for the RN and LPN to give medications. Authority is best defined as which of the following?
A. the nurse uses good judgment and appropriate actions while carrying out professional responsibilities B. the nurse is responsible for administering medications according to the state Nurse Practice Act C. the nurse is acting under a nursing agreement referred to as a compact D. authority is a privilege given to those individuals who are named by law to administer medications
The nurse is teaching about the need for vitamin D in the body. The nurse would put these steps of vitamin D activation and action in which order?
1. Calcium absorption is increased in the small intestine 2. Calcifediol is formed 3. Dietary products are consumed 4. Calcitriol is formed 5. Cholecalciferol is synthesized