The clinic nurse is assessing the complete blood count results for Kim-Ly, a 23-year-old pregnant woman. Kim-Ly's hemoglobin is 9.8 g/dL. This laboratory finding places Kim-Ly's pregnancy at risk for (select all that apply):
a. Preterm birth
b. Placental abruption
c. Intrauterine growth restriction
d. Thrombocytopenia
ANS: a, c
True anemia, or iron-deficiency anemia, occurs when the hemoglobin level drops below 10 g/dL. The blood's decreased oxygen-carrying capacity causes a reduction in oxygen transport to the developing fetus. Decreased fetal oxygen transport has been associated with intrauterine growth restriction (IUGR) and preterm birth. There is not a risk factor for abruption or thrombocytopenia.
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4. A patient has a glomerular filtration rate (GFR) of 19 mL/min/1.73m2. What assessment findings correlate with this condition? (Select all that apply.)
a. Fatigue b. Weakness c. Edema d. No specific symptoms e. Headaches
The client states that a friend had developed dehydration during a long-distance race. The client wants to know how to adequately prevent dehydration and hyponatremia when running long distances
Which of the following is the nurse's best response? 1. "You should drink at every opportunity during the race.". 2. "Avoid ingesting salty foods on the day of the race.". 3. "Focus on increasing your consumption of potassium-rich foods during the race.". 4. "Liberally salt your food and drink just to maintain your weight during the race.".
A client tells the nurse he or shehas been abusing his or her antianxiety prescription. Which findings should the nurse recognize are related to a psychological dependence?Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply.
A. The patient's history reveals the long-term use of high doses of an antianxiety prescription. B. The client describes the "need" to use the antianxiety prescription despite not feeling anxious. C. The client describes feeling nauseous with abdominal cramping. D. The client states his or her family does not speak to him or her because of the need for the antianxiety prescription. E. The client states he or she has not slept in days and feels very anxious and tired.
For a pediatric client, the nurse instructs the parents to include in the diet:
A. Cereals at 2 to 3 months of age B. Strained meats at 6 months of age C. Strained vegetables at 6 months of age D. Bite-sized table foods at 1 to 1½ years of age