A pregnant client is admitted with pre-eclampsia. This condition is most often manifested by
a. hypertension occurring during the first trimester
b. dependent edema and mild proteinuria
c. increasing hypertension after 20 weeks' gestation
d. headache associated with nausea and vomiting
C
In pre-eclampsia, hypertension usually occurs after 20 weeks gestation. The diagnosis is
determined by (1) increased blood pressure, over 140 mmHg systolic or over 90 mmHg diastolic in a woman who had normal blood pressure before 20 weeks gestation; and (2) proteinuria, which is defined as more than 0.3 g of protein in a 24-hour urine collection. Headache associated with nausea and vomiting indicate pending seizure activity, or eclampsia.
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The client asks the nurse to explain the difference between arteriosclerosis and atherosclerosis. Which is the best explanation provided by the nurse?
A) "Arteriosclerosis is a condition that produces structural changes in the arteries, and atherosclerosis is a specific type of arteriosclerosis." B) "Arteriosclerosis and atherosclerosis are the same disorder. The terms are interchangeable." C) "Atherosclerosis and arteriosclerosis are disorders in which the lining of the vessels become narrowed due to plaque formation." D) "Arteriosclerosis is when the vessels become dilated and weakened, whereas atherosclerosis is the deposit of fatty substances in the vessel lining."
Which information should the nurse include in the education for a client is prescribed an additional once-daily amiodarone to control persistent atrial fibrillation?
A. "I will avoid drinking grapefruit juice." B. "I understand the effect of the prescription will last 4 to 8 weeks after I stop taking it." C. "I will monitor my blood pressure and report any significant changes." D. "I will avoid the use of St John's wort." E. "I will follow a low sodium diet."
If an expelled fetus has a period of gestation of more than 20 weeks but less than 37 weeks, what is the expulsion considered?
A. Spontaneous abortion B. Abortion C. Preterm labor with preterm delivery D. Molar pregnancy
The patient comes to the emergency department after suffering a bilateral traumatic amputation of his lower extremities. The physician orders normal serum albumin (Albuminar). The patient goes into shock. What will the best nursing assessment of this patient reveal?
1. B/P: 140/90 mmHg, P: 46, weak and irregular, R: 24, and shallow. 2. B/P: 50/0 mmHg, P: 126, weak and thready, R: 14, and shallow. 3. B/P: 80/20 mmHg, P: 122, weak and thready, R: 28, and shallow. 4. B/P: 130/88 mmHg, P: 90, bounding, R: 32, and shallow.