The screening results of a quadruple screening completed on a 37-year-old pregnant client were not within the normal range. For which additional testing should the nurse prepare this client? Select all that apply

1. Ultrasound
2. Serum glucose
3. Amniocentesis
4. Serum ferritin levels
5. Fetal heart monitoring


1, 3
Explanation:
1. If the screening results are not in the normal range, follow-up testing using ultrasound is often indicated.
2. Serum glucose level is not used to detect fetal genetic abnormalities.
3. If the screening results are not in the normal range, follow-up testing using amniocentesis is often indicated.
4. Serum ferritin levels would measure iron level and will not detect fetal genetic abnormalities.
5. Fetal heart monitoring will not detect fetal genetic abnormalities.

Nursing

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Which of the following statements is true regarding venous thromboembolism (VTE) and pulmonary embolus (PE)?

a. PE should be suspected in any patient who has unexplained cardiorespiratory complaints and risk factors for VTE. b. Bradycardia and hyperventilation are classic symptoms of PE. c. Dyspnea, chest pain, and hemoptysis occur in nearly all patients with PE. d. Most critically ill patients are at low risk for VTE and PE and do not require prophylaxis.

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Which of the following drugs elevates nitrogen levels and would make it necessary for a health care provider to assess the baseline serum blood urea nitrogen (BUN) and creatinine levels of the patient?

a. Arginine hydrochloride b. Ammonium hydrochloride c. Ascorbic acid d. Hydrochloric acid

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Which of the following women most likely will not be a candidate to attempt a vaginal birth after having had a previous cesarean section?

A) A woman who had a cesarean section because of placenta previa B) A woman who had a cesarean section because of cephalopelvic disproportion C) A woman who has a gynecoid shaped pelvis D) A woman who had a cesarean section because of a breech presentation

Nursing

To help prevent aspiration when feeding a patient who is unable to close the lips completely, the nurse should:

a. feed only liquids through a straw. b. use thickener in all liquids and semiliquid food. c. request an order for enteral feedings. d. press the lips closed when the patient swallows.

Nursing