The nurse is collecting data on clients who are in their first trimester of pregnancy. The nurse is concerned with identifying clients who may be at risk for the development of postpartum com-plications
Which of the following clients would be least likely at risk for the development of thrombophlebitis in the postpartum period? 1. A 35-year-old client who reports that she smokes
2. A 26-year-old client with a family history of thrombophlebitis
3. A 37-year-old client in her fourth pregnancy who is overweight
4. A 22-year-old client in her first pregnancy who states that oral contraceptives taken in the past have caused thrombophlebitis
2
Rationale: Certain factors create a risk for the development of thrombophlebitis. These factors include smoking; varicose veins; obesity; a history of thrombophlebitis; women who are older than 35 years or have had more than three pregnancies; and women who have had a cesarean birth. The client described in the correct option is least likely at risk for the development of a thromboembolic disorder because this client has a family history rather than a personal history of thrombophlebitis.
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The nurse is planning the care for a patient with acute pancreatitis caused by alcohol ingestion. Which of the following should be included in this patient's plan of care?
1. physical therapy consult for progressive ambulation 2. occupational therapy consult 3. preparation for pancreatic ultrasound 4. alcohol cessation counseling once stabilized
A patient is admitted with symptoms of alcohol withdrawal. Which of the following would be of the highest priority for this patient?
1. Support respiratory and cardiac statuses. 2. Keep the room dimly lit. 3. Encourage verbalization of feelings. 4. Encourage taking fluids by mouth.
In the following situation, which test should be used? Independent variable = first-born child vs. second born child; dependent variable = mother's decision to breastfeed (yes vs. no)
a. Chi-square test b. Kruskal-Wallis test c. Cochran's Q d. McNemar test
A home health client has been prescribed nutritional supplements three times a day
The formula is expensive and the client tells the home health nurse that she is taking them three times a day, but diluting them so she can use only one can, not three, per day. As a client advocate, the nurse should: 1. Help the client look for available community resources that may be of assistance. 2. Tell the client that she needs to take the prescribed amount. 3. Report the situation to the physician. 4. Weigh the client on a weekly basis to monitor weight gain or loss.