Which of the following findings would the nurse interpret as suggesting a diagnosis of gestational trophoblast disease?
A) Elevated hCG levels, enlarged abdomen, quickening
B) Vaginal bleeding, absence of FHR, decreased hPL levels
C) Visible fetal skeleton with ultrasound, absence of quickening, enlarged abdomen
D) Symptoms of gestational hypertension, hyperemesis gravidarum, absence of FHR
D
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You are the nurse caring for an elderly adult who is bedridden. What intervention would you include in the care plan that would most effectively prevent pressure ulcers?
A) Turn and reposition the patient a minimum of every 8 hours. B) Vigorously massage lotion into bony prominences. C) Post a turning schedule at the patient's bedside and ensure staff adherence. D) Slide, rather than lift, the patient when turning.
A client with a history of alcohol abuse seeks medical attention for the onset of new symptoms. For which signs of a vitamin deficiency should the nurse assess this client? (Select all that apply.)
a. Projectile vomiting and diarrhea b. Extreme tiredness and irritability c. Wide fluctuations in blood glucose d. Blurred vision and difficulty seeing in the dark e. Numbness and tingling along with loss of balance
The nursing plan of care for a 4-year-old following a tonsillectomy should include which of the following concepts?
A) Analgesic dosing is based on year in school and weight. B) Administer analgesics by the least painful route. C) Administer analgesics only when the Wong-Baker FACES scale indicates a pain rating of 6 or higher. D) Administer analgesics rectally.
A nurse is providing a community education class on morphine sulfate. Which symptom, chosen by a member of the audience, indicates a need for further teaching with regard to an understanding of adverse effects of morphine sulfate?
a. Orthostatic hypotension b. Diarrhea c. Urinary retention d. Bradypnea