A 19-year-old diabetic woman who is 22 weeks pregnant presents with an occipital headache, blurred vision, and edema to her hands and feet. Her blood pressure is 152/94 mm Hg, pulse rate is 108 beats/min, and respirations are 20 breaths/min. The patient is conscious and alert, and states that she is "retaining a lot of water." Your MOST immediate concern should be:
A) the risk of fetal compromise.
B) the possibility of a seizure.
C) lowering her blood pressure.
D) her current blood sugar level.
Answer: B) the possibility of a seizure.
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Which of the following nursing diagnoses would be considered a priority for the client with peptic ulcer disease?
A. Acute Pain B. Ineffective Coping C. Potential for Metabolic Alkalosis D. Ineffective Therapeutic Regimen Management
Which nurse is less likely to learn a diversity of acceptable nursing interventions based on
appropriate standards of care? A) The nurse who chooses to work in a community setting B) The nurse who seeks to specialize C) The nurse who is employed at the same health care agency that provided student his or her student experiences D) The nurse who works in a rural setting
A pregnant patient is being induced with oxytocin, which has been infusing for 1 hour. The initial rate was 6 milliunits/min, and the rate now is 18 milliunits/min
The nurse notes regular contractions occurring every 3 minutes, each lasting 35 seconds. The nurse will: a. increase the rate of infusion by 1 to 2 milliunits/min every 15 to 40 minutes. b. increase the rate of infusion by 3 to 6 milliunits/min every 15 to 40 minutes. c. interrupt the infusion and continue to monitor the patient before restarting. d. interrupt the infusion and notify the provider of potential oxytocin toxicity.
Cocaine exerts which of the following effects on a client?
A. Stimulation after 15 to 20 minutes B. Stimulation and anesthetic effects C. Immediate imbalance of emotions D. Paranoia