The nurse is assessing the abdomen of a client who is 20 weeks gestation. Which is the anticipated height of the fundus based on this data?

1. A.
2. B.
3. C.
4. D.


Correct Answer: 3
The fundal height can be anticipated passed upon gestational age. At 20 weeks gestation, the fundal height will be at the level of the umbilicus.

Nursing

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A potentially life-threatening adverse response to angiotensin-converting enzyme inhibitors is angioedema. Which of the following statements is true about this adverse response?

1. Swelling of the tongue or hoarseness are the most common symptoms. 2. It appears to be related to the decrease in aldosterone production. 3. Presence of a dry, hacky cough indicates a high risk for this adverse response. 4. Because it takes time to build up a blood level, it occurs after being on the drug for about 1 week.

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The nurse is planning care for a client diagnosed with an acute abdomen. Which of the following nursing diagnoses would be appropriate for this client? (Select all that apply.)

1. Fear 2. Deficient fluid volume 3. Ineffective coping 4. Acute pain 5. Risk of infection 6. Altered self-perception

Nursing

A child is seen in the health care clinic for complaints of fever. On data collection, the nurse notes that the child is pale, is tachycardic, and has petechiae. Aplastic anemia is suspected

Which of the following diagnostic tests will confirm the diagnosis of aplastic anemia? 1. Platelet count 2. Granulocyte count 3. Red blood cell count 4. Bone marrow biopsy

Nursing

The nurse is a member of the larger community and opportunities exist for volunteer service to give back to that community. Which of the following organizations relies on volunteers to provide care and education to people in underserved areas?

A) American Red Cross B) Habitat for Humanity C) VISTA D) Head Start Programs

Nursing