The client in the prenatal clinic tells the nurse that she is sure she is pregnant because she has not had a menstrual cycle for 3 months, and her breasts are getting bigger. What response by the nurse is best?
1. "Lack of menses and breast enlargement are presumptive signs of pregnancy."
2. "The changes you are describing are definitely indicators that you are pregnant."
3. "Lack of menses can be caused by many things. We need to do a pregnancy test."
4. "You're probably not pregnant, but we can check it out if you like."
3
Explanation: 3. This is a true statement, and addresses that these changes could be caused by conditions other than pregnancy.
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1. Both parents must agree and give consent. 2. The custodial parent 3. Either parent 4. Designated medical social worker
The nurse is interviewing a client and notes that the left eyelid is drooping. Which term will the nurse use when documenting this finding in the medical record?
1. Ptosis. 2. Nystagmus. 3. Strabismus. 4. Myopia.
A priority for patient education when discharged with long-term antidiuretic hormone deficiency is
a. daily intake and output. c. a low-sodium diet. b. attention to thirst. d. daily weights.
Prior to surgery, the nurse checks to ensure that the patient has signed an informed consent form. Which ethical principle is the nurse supporting?
1. Autonomy 2. Beneficence 3. Veracity 4. Fidelity