A nurse is assessing a woman for positive signs of pregnancy. Which of the following assessment findings would the nurse discover? (
a. Positive test for HCG in the maternal urine
b. Detection of fetal heart tones
c. Enlargement of the uterus
d. Palpation of fetal body parts
Answer:
b. Detection of fetal heart tones
d. Palpation of fetal body parts
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When caring for clients with STDs, the nurse is aware that the best method of infection control is
a. good hand-washing. b. disease-based isolation techniques. c. no extra infection control measures. d. universal precautions.
The nurse plans care for the patient who has asthma and receives albuterol nebulizer therapy. The patient's respiratory rate is 34 breaths per minute, and breath sounds reveal wheezing throughout both lung fields
Which outcome is the nurse's priority for this patient within 24 hours? a. The patient self-administers the medica-tion using the nebulizer. b. The patient correctly describes the use of a small-volume nebulizer. c. The patient recites side effects and clinical indicators to report. d. The patient's respiratory rate falls to an acceptble level.
The nurse is caring for a patient with chronic stress for the past month because of job loss and financial difficulties
When evaluating the patient's assessment findings, the nurse would anticipate finding an elevated antibody titer to which of the following? A) Herpes simplex viruses B) Herpes zoster viruses C) Acquired immune deficiency viruses D) Influenza viruses
A nurse is admitting an older client for surgery to the inpatient surgical unit. The client relates a prior history of acute confusion after a previous operation. What interventions does the nurse include on the client's plan of care to minimize the poten
a. Allow family and friends to visit as the client desires. b. Ask the client about coping techniques frequently used. c. Instruct the nursing assistant to ensure the client is bathed. d. Place the client in a room secluded at the end of the hall. e. Provide the client with uninterrupted periods of sleep.