The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on dipstick; and edema of the hands, ankles, and feet
On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the preeclampsia? A. Blood pressure 158/104
B. Urinary output 20 mL/hour
C. Reflexes 2+
D. Platelet count 150,000
B
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What is a major complication of gestational diabetes that affects the infant?
a. Lack of nutrition b. Dehydration c. Hypoglycemia d. Hyperglycemia
The nurse is teaching a client how to prevent transmitting HIV to his sexual partner. Which statement by the client indicates that additional teaching is needed?
a. "I can throw the condoms in the trash af-ter I have used them." b. "I will store my condoms in my wallet so they are always handy." c. "Water-based lubricants are best to pre-vent condom breakage." d. "The condom needs to stay on until I withdraw my penis."
A man experiencing premature ejaculation tells the nurse, "I feel like such a failure. It's so awful for both me and my wife. Can you help me?" Select the nurse's best response
a. "Sex therapy is not my specialty, but I will try to help." b. "I can refer you to a practitioner who can help you with this problem." c. "Have you asked your health care provider for prescription medication?" d. "There are several techniques described in this pamphlet that might be helpful."
While counseling the parents of a 61/2-month-old infant,the most appropriate toy for the nurse to suggest would be a
1. soft,fluid-filled ring that can bechilled in the refrigerator. 2. colorful rattle. 3. jack-in-the-box toy. 4. push-and-pull toy.