Which client problem would be considered a danger signal that a client should report immediately?
a. Chronic constipation c. Early evening fatigue
b. Decreased fetal movement d. Loss of appetite
B
Decreased fetal movement should signal the client to notify the health care provider immediately. Constipation is one of the discomforts of pregnancy due to hormonal and pressure changes, with fluid and exercise needs continuing throughout pregnancy. Early evening fatigue is a common discomfort of pregnancy. Loss of appetite may be a result of nausea and vomiting.
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A nurse is assessing a patient with rheumatoid arthritis. The patient expresses his intent to pursue complementary and alternative therapies. What fact should underlie the nurse's response to the patient?
A) New evidence shows CAM to be as effective as medical treatment. B) CAM therapies negate many of the benefits of medications. C) CAM therapies typically do more harm than good. D) Evidence shows minimal benefits from most CAM therapies.
A nurse notes the previous 24-hour urine output was 950 mL, well below the normal of 1500 mL. What is an effective nursing order to remedy the impending dehydration?
a. Offer more fluids daily. b. Offer 8 oz of juice or water at 0800 (8 AM), 1200 (12 noon), 1600 (4 PM), and 2000 (8 PM). c. Request extra fluid on a diet tray from the kitchen. d. Place a large water pitcher at the bedside during each shift.
After being exposed to smoke and flames from a house fire, which assessment finding is most important in determining care of the client?
A) Presence of soot around nasal passages B) Fracture of the fibula with displacement C) Elevation of blood pressure and heart rate D) Partial-thickness burns to hands and wrists
Which of the following is the best definition of a family for a nurse to use when planning nursing care?
a. Related legally or by blood b. Considered "family" by the legal system c. Living in the same household d. Any person the client reports as being family