A woman, age 43 years, is 6 weeks pregnant. It is important that she be informed of which?
a. The need for a therapeutic abortion
b. Increased risk for Down syndrome
c. Increased risk for Turner syndrome
d. The need for an immediate amniocentesis
ANS: B
Women who are older than age 35 years at the birth of a single child or 31 years at the birth of twins are advised to have prenatal diagnosis. The risk of having a child with Down syndrome increases with maternal age. There is no indication of a need for a therapeutic abortion at this stage. Turner syndrome is not associated with advanced maternal age. Amniocentesis cannot be done at a gestational age of 6 weeks.
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The ANA's Code of Ethics for Nurses is used to provide specific advice involving which of the following (select all that apply)?
a. How to document a patient fall b. Decisions about a patient's right to die c. How to handle impaired nursing practice d. Chain of command when a physician does not return pages e. Handling situations where a client's needs are beyond the scope of nursing compe-tency
A client's vital signs at the beginning of the shift are as follows: oral temperature 99.3°F (37°C), heart rate 82 beats per minute, respiratory rate 14 breaths per minute, and blood pressure 118/76
Four hours later the client's oral temperature is 102.2°F (39°C). Based on the temperature change, the nurse should anticipate the client's heart rate would be how many beats per minute? 1) 62 2) 82 3) 102 4) 122
While the hemogram of a patient taking hydroxyurea (Droxia) for sickle cell disease is being monitored, which laboratory result would prompt an urgent call to the patient's hematologist?
a. Hemoglobin, 5.8 gm/dL b. Platelet count, 95,000/mm3 c. Reticulocytes, 70,000/mm3 d. Neutrophil count, 2600/mm3
A nurse is ambivalent as to the need to vigorously suction the secretions of a terminal client in a comatose state. Which of the following is an appropriate statement by the nurse in regard to pro-cessing an ethical dilemma?
1. "I just feel like I should not suction this client." 2. "I need to know the legalities of the living will of this client." 3. "I cannot figure out what's right in this situation. I need to collect more data." 4. "My spiritual beliefs mandate that I continue to provide all the interventions in my scope of practice."