The patient who is 28 weeks pregnant shows a 10-pound weight gain from 2 weeks ago. What is the nurse's initial action?
a. Assess food intake.
b. Weigh the patient again.
c. Take the blood pressure.
d. Notify the physician.
ANS: C
The marked weight gain may be an indication of gestational hypertension. The blood pressure should be assessed before notifying the physician.
You might also like to view...
Nurses are expected to critique and evaluate research studies
a. True b. False A) True B) False
The nurse is caring for a patient with bacterial meningitis. What will the nurse include in the plan of care?
a. A quiet environment with minimal stimu-lation b. Care using medical asepsis c. Limitation of oral fluids d. Distraction to reduce daytime naps
When transferring persons, you should use good body mechanics. This includes which of the following?
a. Stand with a narrow posture. b. Face the person. c. Bend your back, not your legs. d. Use your arms to do the work.
When a patient is deprived of sleep, the nurse might assess which of the following symptoms?
a. Elevated blood pressure b. Confusion and irritability c. Inappropriateness and rapid respirations d. Decreased temperature and talkativeness