The nurse is assessing the fundal height of a patient at 26 weeks' gestation. The nurse should expect the fundus to be:
1. Level with the umbilicus
2. Halfway between symphysis and umbilicus
3. Slightly below ensiform cartilage
4. At 26 cm
4. At 26 cm
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The nurse is caring for a client who has returned for the operating room following a nephrectomy. When providing care, the nurse's priority would be to:
1. ambulate the client as soon as the client recovers from anesthesia. 2. assess urine output hourly. 3. monitor the client for a low-grade fever. 4. give the client a bath on return to the unit.
When an alcoholic patient brought in 12 hours ago in an intoxicated state begins to exhibit tremors and increased blood pressure and is agitated, the nurse assesses that the patient is in:
1. major withdrawal. 2. early withdrawal. 3. delirium tremens. 4. minor withdrawal.
The nurse is preparing to provide a complete bed bath to an unconscious patient. The nurse decides to use a bag bath. She does this for which of the following reasons?
a. Washbasins can harbor gram-negative organisms. b. Bag baths use soaps that enhance cleansing. c. Bag baths do not contain emollients. d. Bag baths increase skin flaking and scaling.
The community health nurse would consider a person in which of the following situations to be in persistent poverty?
a. Severe mental illness b. Transient homelessness c. Victim of domestic violence d. Temporary housing