A nurse instructs the patient about which expected skin changes during pregnancy?
a. Nipples becoming thicker
b. Hands and feet becoming pale and cool
c. Blotchy, brown pigmentation of the abdomen
d. Stretch marks on the expanding abdomen
ANS: D
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A 14-year-old girl asks the school nurse why her periods are so irregular. What is the best response by the nurse?
A. "All young girls have irregular periods." B. "Don't worry; this is totally normal." C. "Estrogen levels are still pretty low." D. "You should be seen by your physician."
Which is the main side effect of enteral feedings?
a. Electrolyte imbalance b. Diarrhea c. Bloating d. Reflux
An elderly client tells the nurse that she does not understand why her skin is so dry. Which of the following would explain this client's complaint?
1. Reduced fluid intake 2. Poor nutrition 3. Depleted moisture in epidermal cells 4. Reduction in elastin
A patient had a transdermal fentanyl patch placed 2 hours ago and is not getting any pain relief. What would be the most appropriate intervention?
a. Remove the current patch and replace with a new fentanyl patch at a higher dose. b. Prescribe a short-acting opioid for breakthrough pain. c. Remove the patch and switch to a different intravenous opioid. d. Tell the patient not to worry as it is normal for the patch to take about 12 hr to have effect, and he will have relief at that time.