The nurse is preparing to measure the abdomen of a client who is 24 weeks gestation. Which is the anticipated height of the fundus?
A. 26 cm.
B. 22 cm.
C. 28 cm.
D. 24 cm.
Answer: D
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Nursing care of the child with a snake bite involves assessment of the child for initial and progressive signs of envenomation. Which of the following is the priority nursing action at this time?
1. Assess the need for emergency breathing interventions. 2. Assess neurovascular status and vital signs. 3. Assess pain and the child's response to pain medication. 4. Measure the circumference of the extremity containing the bite every 20–30 minutes. 5. Assess immunization status.
A woman in her thirties has been experiencing increasing weakness and the results of an edrophonium (Tensilon) test have resulted in a diagnosis of myasthenia gravis
The patient's nurse should anticipate that the patient will benefit from treatment with A) carbidopa-levodopa. B) a monoclonal antibody. C) a dopamine agonist. D) a cholinesterase inhibitor.
A patient has been given an antithyroid drug called propylthiouracil. What appropriate nursing implementations should be included?
a. Using special radioactive precautions for her urine for the first 24 hours b. Monitoring her vital signs and withholding the medications if her pulse is greater than 100 beats/min c. Teaching her to watch for and report any signs and symptoms of hypothyroidism or infections d. Keeping her on a low-calorie, low-protein diet
During a home visit of a client with high blood pressure with whom the nurse has developed a strong therapeutic relationship, the nurse learn that the client keeps a large salt shaker near the stove and heavily salts whatever he is cooking
He also keeps a salt shaker on the dinner table and adds more salt when eating. The nurse suggests removing the salt shaker near the stove and only lightly salting food when eating as a way to help reduce the client's sodium intake. This intervention would most likely achieve the goals for assessment associated with which nursing theory? A) Science of Unitary Beings B) Health as Expanding Consciousness C) Roy Adaptation Model D) Self-care Agency