A woman pregnant with twins asks the nurse about differences between identical and fraternal twins. The nurse explains that since it has been determined that she is having a boy and a girl, they are fraternal, and will have with of the following?
1. One placenta, two amnions, and two chorions
2. Two placentas, two amnions, and two chorions
3. Two placentas, one amnion, and two chorions
4. Two placentas, two amnions, one chorion
2
Explanation: 2. This is the correct answer. Fraternal twins have two placentas, two amnions, and two chorions, however, the placentas sometimes fuse and look as if they are one.
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The nurse is caring for a client diagnosed with endometriosis. Which statement by the patient requires immediate follow-up?
1. "I am having many hot flashes since I had the Lupron injection." 2. "The pain I experience with intercourse is becoming more severe." 3. "My leg has become painful and swollen since I started taking birth control pills." 4. "I've noticed my voice is lower since I started taking danazol."
A patient is receiving hydromorphone (Dilaudid) as treatment for chronic pain. Which patient action would indicate a developing tolerance to the drug?
a. The patient takes fewer doses during the day. b. The time frame between doses lengthens. c. The patient forgets to take a dose as scheduled. d. The patient takes a higher dose to obtain relief.
A patient tells the nurse that his back has not "bothered" him for months but now that he's in the intensive care unit, his back is "killing" him
The nurse realizes the reason for this increase in pain can be because of 1. forced immobility and anxiety. 2. exacerbation of a long-standing back problem. 3. the disease process that caused the hospital admission. 4. a tolerance to pain medication.
Which of the following conditions could be responsible for this heart rate?
A 68-year-old retired waiter comes to your clinic for evaluation of fatigue. You perform a cardiac examination and find that his pulse rate is less than 60. A) Second-degree A-V block B) Atrial flutter C) Sinus arrhythmia D) Atrial fibrillation