A client has a history of rheumatic heart disease as a child, with residual effects. She is concerned for her health and the safety of her current pregnancy
The client asks the nurse, "When am I most likely to experience problems related to my heart condition?" The nurse's best response is: 1. "12–16 weeks' gestation."
2. "20–24 weeks' gestation."
3. "28–32 weeks' gestation."
4. "36–40 weeks' gestation."
3
Rationale:
1. Before 28 weeks, the blood volume has increased only slightly.
2. Before 28 weeks, the blood volume has increased only slightly.
3. The cardiac system will be most affected when the volume is rising sharply to its maximum amount, which would be 28–32 weeks. Blood volume has reached its maximum amount between 28 and 32 weeks.
4. After about 32 weeks, the blood volume has stabilized.
You might also like to view...
A school-age client with type 1 diabetes mellitus wants to know why the medication is in an injection instead of a pill. Which response should the nurse make to this client?
a. "The type of medication you need depends on your blood sugar levels, and yours meet the criteria for insulin." b. "Medications available in pill form can be used for type 1 diabetes if the treatment is started early enough in the disease." c. "Younger clients diagnosed with diabetes are prescribed insulin because it is long lasting and easier to keep track of than pills." d. "Medications available in pill form only work if your body makes some insulin, and in type 1 diabetes the cells that make insulin do not work."
A client's results from a urinalysis are as follows: pH 5.2, gross cloudiness, WBC 10–15, glucose negative, specific gravity 1.012, and protein negative. How should the nurse interpret the results?
1. Dehydration 2. Diabetic ketoacidosis 3. Trauma 4. Urinary tract infection
The nurse clarifies that the brace applied to help correct a clubfoot should be worn:
a. Only at night b. 6 hours at a time c. 8 hours on, and then 2 hours off d. 23 hours per day
The nurse includes which of the following in teaching regarding the warning signs of cancer? Select all that apply.
A. Persistent constipation B. Scab present for 6 months C. Curdlike vaginal discharge D. Axillary swelling E. Headache