A pregnant client presents to the clinic with a three-pound-per-week weight gain for two successive weeks. The nurse is most concerned that this client is demonstrating signs of which condition?
a. Gestational diabetes mellitus
b. Preeclampsia
c. Placenta enlargement
d. Multiple gestations
ANS: B
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A nurse is caring for a visually impaired 20-month-old who has not begun to walk. An appropriate nursing diagnosis for this child would be:
1. Delayed growth and development. 2. Impaired physical mobility. 3. Self-care deficit. 4. Impaired home maintenance.
A patient is admitted with a diagnosis of trisomy. This patient has three number 21 chromosomes. What factor describes this genetic change?
A) The mother also has genetic mutation of chromosome 21. B) The patient has a nondisjunction occurring during meiosis. C) During meiosis a reduction of chromosomes results in 23. D) The patient will have a single X chromosome and infertility.
A nurse warns a client who has a recent history of seizures that he may fall off his bed during a seizure attack if he does not leave the side rails of the bed raised
Before leaving the client's room, the nurse puts up the side rails, but after the nurse has left, the client lowers them again. Later, the client has a fall from the bed during seizures and holds the nurse responsible for it. Which of the following legal provisions protects the nurse in this case? A) Good Samaritan law B) Statute of limitations C) Common law D) Assumption of risk
A patient is preparing to undergo transurethral needle ablation (TUNA). Which statement would the nurse evaluate as indicating education goals for this patient have been met?
1. "The reduced complications of this procedure versus those of the TURP will be well worth the TUNA's higher cost." 2. "The TUNA procedure will not require a hospital admission." 3. "Bleeding is a serious complication associated with the TUNA procedure." 4. "I can anticipate needing to have this procedure repeated in 5 to 7 years."