The nurse reads "positive Hegar's sign" in a patient's chart. What can the nurse conclude about the patient?
A.
Patient had a miscarriage
B.
Patient is post-partum
C.
Patient is pregnant
D.
Patient may be pregnant
ANS: D
Hegar's sign is softening of the lower uterine segment and is a probable sign of pregnancy, so the nurse concludes that the patient may be pregnant. A positive Hegar's sign can also be caused by pelvic congestion.
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The student nurse and the experienced nurse are meeting with an elderly Vietnamese client who is unable to speak English
Which of the following actions indicate that the student nurse requires further education? Standard Text: Select all that apply. 1. The student nurse looks intently at the translator during the interview. 2. The student nurse is sitting directly beside the client and both of them are facing the translator. 3. The student nurse asks one question at a time. 4. The student nurse has requested that the client bring his daughter to the interview to translate for him. 5. The student nurse states, "Please tell him to void in this specimen container and to use a clean-catch technique when acquiring the urine."
Which of the following factors has most influenced how nurses practice their profession?
A) Financial support of nursing education B) Professional organizations such as ANA C) National Commission on Nursing D) Increased incidence of chronic illness
The client tells the nurse, "The doctor is going to start me on Botox for the muscle spasms in my neck. I've always wanted to try that. It will make me look younger."
Which information should the nurse provide to this client regarding onabotulinumtoxinA (Botox)? Standard Text: Select all that apply. 1. "Once you start on the medication, it may take a week or so before you notice a change in your skin." 2. "Be certain you take the medication with a full glass of water because it can be hard on your kidneys." 3. "There are many different uses for that drug, depending on how it is administered." 4. "You may have to have additional treatments with the medication in a few months." 5. "You should be aware that side effects of the medication can occur hours or weeks after your treatment."
The nurse is assessing a 36-week gestational age newborn. What assessment findings indicate that a cardiac defect is present? Select all that apply
1. Cyanosis 2. Abdominal bruit 3. Peripheral pulses 4. Signs of heart failure 5. Presence of a heart murmur