A client asks why a 24-hour urine collection is necessary to measure excreted hormones instead of a random voided specimen. Which response by the nurse is most accurate?
a. "We are testing for a hormone secreted on a circadian rhythm."
b. "The hormone is so dilute in urine, we need a large volume."
c. "We want to see when the hormone is se-creted in both large and small amounts."
d. "You'd have to be here at a specific time of the day for a random urinalysis."
A
Some hormones are secreted in a pulsatile, or circadian, cycle. When testing for these substances, a collection that occurs over 24 hours will most accurately reflect hormone secretion. The other responses are not accurate.
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A nurse comments that the only aneuploid conditions he has seen in his practice are Patau syndrome, Edwards syndrome, and Down syndrome. What rationale would the genetics specialist suggest?
1. The diagnosis of aneuploidy is made early in the pregnancy, so women whose fetuses demonstrate other conditions are referred to high-risk providers. 2. These are all monosomic conditions, which have a higher survival rate to delivery. 3. The chromosomes affected are small. 4. Spontaneous abortions are rare among fetuses with these conditions.
When a nonreassuring pattern of the fetal heart rate is noted and the client is lying on her left side, which nursing action is indicated?
a. Lower the head of the bed. b. Place a wedge under the left hip. c. Change her position to the right side. d. Place the mother in Trendelenburg position.
The theory of nursing as caring directs nurses to respond to calls for nursing with
A. The intention of following a predetermined plan of care. B. Acknowledgment of patient needs. C. Authentic presence. D. All of the above
A nursing intervention directs the patient to be turned every 2 hours to prevent skin breakdown from immobility. Assessment findings on new reddened areas on the lateral aspects of the right knee and ankle are obtained
What is the most appropriate way for these findings to be used when the care plan is evaluated? a. The information will be added to the relevant area of the electronic medical record. b. The nursing diagnosis will be changed from an actual problem to a potential problem. c. The new intervention of calling the physician will be added to the care plan. d. The intervention will change to have the patient turned every hour.