The nurse working in an obstetrician's office receives a call from a pregnant client who is at 36 weeks' gestation. The nurse regards which of the following symptoms as indicating a need for the client to be seen by the physician?
1. Constipation
2. Flatulence
3. Facial edema
4. Mild dyspnea
3
Rationale: Facial edema is not a normal discomfort of pregnancy, and can indicate pre-eclampsia so the client should be seen as soon as possible in order to have blood pressure measured and urine tested for the presence of protein.
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An older male adult is being abused by his daughter, a single working mother of four children, with whom he lives. The nurse investigates to learn the abuse is due to situational stress
Which should the nurse implement to address the short-term crisis? a. Remove him from his daughter's home immediately. b. Encourage the daughter to work with social services. c. Arrange respite care or day care for the patient. d. Place your patient in a long-term care facility.
At what week of fetal development can the nurse expect to first hear fetal heart tones with an amplified stethoscope?
a. 10 b. 12 c. 14 d. 16
For the client with dissociative amnesia, an appropriate indicator for the outcome of cognition
(demonstrate ability to execute complex mental processes) is that the client will a. verbalize feelings of safety. b. function independently. c. regularly attend diversional activities. d. describe previously forgotten experiences.
Which behavior exhibited by an older adult client alerts the nurse to the possibility that the client is experiencing delirium?
a. Becoming confused within 24 hours after hospital admission b. Displaying a cheerful attitude despite a poor prognosis c. Becoming withdrawn and sleeping most of the day d. Beginning to use slurred speech and losing coordination