The nurse observes a client's fingernails have a concave shape. What laboratory studies should the nurse review?
A) Hemoglobin and hematocrit
B) Arterial blood gases
C) BUN and creatinine
D) Glucose level
A
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Normal nails appear slightly convex with a 160° angle between the nail base and the skin. Concave-shaped nails, referred to as "spooning" because of their characteristic appearance, are a sign of iron-deficiency anemia. ABGs, BUN and creatinine, and glucose levels are not related to this shape of nail.
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The nurse instructed a postpartum woman about storing and freezing breast milk. What statement by the woman leads the nurse to determine that the teaching was effective?
a. "I can thaw frozen breast milk in the microwave." b. "I'll put enough breast milk for one day in a container." c. "Breast milk can be stored in glass containers." d. "Breast milk can be kept in the refrigerator for up to 3 months."
The nurse is assessing a client with a spinal cord injury at the T5 level. Which clinical manifesta-tion alerts the nurse to the presence of a complication of this injury?
a. Rhinorrhea and epiphora b. Fever and cough c. Agitation and restlessness d. Hip and knee pain
The nurse is caring for a family whose infant was just born with anencephaly. What is the most important nursing intervention?
a. Implement measures to facilitate the attachment process. b. Help the family cope with the birth of an infant with a fatal defect. c. Prepare the family for extensive surgical procedures that will be needed. d. Provide emotional support so the family can adjust to the birth of an infant with problems.
A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-ounce boy after augmentation of labor with oxytocin (Pitocin). She puts on her call light and asks for her nurse right away, stating, "I'm bleeding a lot."
The most likely cause of postpartum hemorr-hage in this woman is: 1. retained placental fragments. 2. unrepaired vaginal lacerations. 3. uterine atony. 4. puerperal infection.