The nurse is assessing a client in the third trimester of pregnancy. What physiologic changes in the client are expected? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The client's chest circumference has increased by 6 cm during the pregnancy.
2. The client has a narrowed subcostal angle.
3. The client is using thoracic breathing.
4. The client may have epistaxis.
5. The client has a productive cough.
1, 3, 4
Explanation: 1. The chest increase compensates for the elevated diaphragm.
3. Breathing changes from abdominal to thoracic as pregnancy progresses.
4. Epistaxis (nosebleeds) may occur and are primarily the result of estrogen-induced edema and vascular congestion of the nasal mucosa.
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A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)
A) provide regular feedback about product safety issues. B) accredit new medical facilities and hospitals. C) facilitate the reporting of adverse reactions of drugs. D) increase awareness of serious reactions caused by drugs or medical devices. E) report medication errors that occur in hospitals.
An 82-year-old resident of a long-term care facility has had a scheduled appointment with his primary care provider and had blood work drawn thereafter. The results of the resident's blood work are suggestive of anemia
How should the nurse best interpret this laboratory finding? A) Mild to moderate anemia is considered a normal, age-related change. B) The resident's anemia is likely the result of psychological stressors. C) The specific etiology of the resident's anemia should be investigated. D) The resident would benefit from a high-iron diet and folic acid supplements.
When making the bed,
A) do not shake the linen to avoid spreading germs. B) shake the sheets vigorously to remove wrinkles. C) shake the dirty linen to remove debris. D) shake the blankets daily to air them.
The ideal position for the patients to be in to receive intranasal medication is:
a. Left lateral recumbent b. Prone c. Supine, with the head flexed forward d. Supine, with the head tilted back