The nurse is teaching a pregnant patient who works as a cashier in a grocery store about varicose vein prevention. Which instruction is most important for the nurse to include in the teaching plan?
a. Add vitamin C to diet.
b. March in place while standing at the counter.
c. Avoid tight support hose.
d. Wear supportive shoes.
B
Varicose veins are enlarged and tortuous veins that are distorted in shape by accumulations of pooled blood. Treatment of varicose veins includes exercising the legs and feet periodically throughout the day, like marching in place while standing at the counter, elevating the legs whenever possible, and wearing support hose. Supportive shoes and vitamin C do not prevent venous congestion.
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During an assessment, the nurse notices that a patient's umbilicus is enlarged and everted. It is positioned midline with no change in skin color. The nurse recognizes that the patient may have which condition?
a. Intra-abdominal bleeding b. Constipation c. Umbilical hernia d. Abdominal tumor
A patient with acute mania has exhausted staff by noon after joking, manipulating, and insulting all morning. Staff members feel defensive and fatigued. Select the best action
a. Call the health care provider to evaluate the patient. b. Hold a staff meeting to discuss consistency and limit-setting approaches. c. Seclude the patient, and then call the health care provider to write an order. d. Explain to the patient that the behavior is unacceptable. Ask the patient to be more cooperative.
A patient who is using atropine eyedrops is found to have a poor consensual light response. The nurse recognizes that this finding is considered:
1. abnormal and should be reported to the physician. 2. normal because of the eyedrops. 3. evidence of retinal degeneration. 4. evidence of optic nerve damage.
What was the due date you gave her?
A 20-year-old college student comes in with symptoms of fatigue, nausea, and an increase in urination. Her last period was 3 months ago (June 20, 2008). She is sexually active and always uses condoms. Her past medical history is unremarkable. On examination you see a young, anxious-appearing woman. Her vital signs are unremarkable. Her head, eyes, ears, throat, neck, thyroid, cardiac, pulmonary, and abdominal examinations are unremarkable. On pelvic examination a soft cervix is palpated and a 14-week-sized uterus is palpated. A urine pregnancy test is positive. You then inform the patient that she is expecting and, using Naegele's rule, give her the estimated date of confinement (EDC, or due date). A) March 27, 2009 B) March 13, 2009 C) September 27, 2009 D) March 20, 2009