The pregnant client with Marfan syndrome is at a high risk of

a. developing respira-tory difficulties c. aortic aneurysm
b. cephalopelvic dis-proportion d. progressive renal insufficiency


C
Aortic aneurysms are among the cardiovascular anomalies associated with Marfan syndrome. Marfan syndrome is characterized by ocular, skeletal, and cardiovascular alterations. Respiratory difficulties are more characteristic of cystic fibrosis. Cephalopelvic disproportion is characteristic of osteogenesis imperfecta type 1 . Progressive renal insufficiency is not associated with Marfan syndrome.

Nursing

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A nurse working in a senior center encounters a patient who recently lost his spouse as well as several friends and family members. What is the best way for the nurse to assist the patient?

A) Recommend that the patient get over the loss and move on with his life. B) Encourage the patient to participate in grief counseling. C) Suggest that the patient move into a senior residence to avoid reminders of his wife. D) Ask another elder member of the senior center to discuss his experiences with grief with the patient.

Nursing

A nursing manager wants to investigate the best practice research on a specific patient safety issue. The best action by the nursing manager would be to

a. consult with other facilities to see what their related practices are. b. convene a work group to develop related policies and procedures. c. read recent issues of a nursing management journal for research. d. research the literature, paying special attention to synthesis work.

Nursing

The correct order of actions for a patient starting enteral nutrition with a feeding tube is: _______________, _______________, _______________, _______________, _______________

(Put a comma and space between each answer choice.) A. Initiate tube feeding. B. Insert feeding tube. C. Flush tube to verify patency. D. Obtain chest radiograph. E. Assess residuals.

Nursing

A nurse is caring for a woman who has been hypertensive since her thirty-fourth week of gestation. Assessment findings include urine protein +3, platelet count 95,000 mm3, and elevated AST and ALT levels

The nurse should suspect the development of which of the following? a. HELLP syndrome b. Placenta previa c. Hyperglycemia d. Abruptio placentae

Nursing