When obtaining a prenatal history on a pregnant patient the nurse notes a family history of sickle cell disease. Given this information, what lab test can the nurse anticipate the physician will order?
a. Endovaginal ultrasound
b. Pap test
c. Complete blood count
d. Hemoglobin electrophoresis
ANS: D
Hemoglobin electrophoresis identifies presence of sickle cell trait or disease (in women of African or Mediterranean descent). It is ordered in the first trimester, if indicated.
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A patient with a history of angina asks the nurse whether it is safe to use pseudoephedrine for allergic rhinitis. Select the nurse's best response
a. "It is safe, provided you follow the instructions on the label." b. "It is safe to use this agent if you are also using nitroglycerin." c. "Rebound congestion is more common when a person with angina takes pseudoephedrine." d. "These agents should not be used by patients with any form of heart disease."
A client has just turned 50 and is persuaded by his wife to have a physical. The client makes an appointment with his family doctor to detect his state of health. What level of care is this patient seeking?
A) Tertiary care B) Primary care C) Secondary care D) Quarternary care
A client is to receive enteral nutrition. Which information should the nurse provide to the client and family?
1. "Nutrition can be given either intermittently or continuously." 2. "Your nutrition will be administered through your veins." 3. "You will still be able to eat if you would like to do so." 4. "Most enteral feeding consists of thinned pureed food." 5. "Enteral feedings are milk based."
When assessing a 22-year-old male patient, the nurse learns that he smokes a pack of cigarettes daily. The patient tells the nurse, "I enjoy smoking and have no plans to quit." Which nursing diagnosis is most appropriate?
a. Health Seeking Behaviors related to cigarette use b. Ineffective Health Maintenance related to tobacco use c. Readiness for Enhanced Self-Health Management related to smoking d. Deficient Knowledge related to long-term effects of cigarette smoking