A nurse interviews a pregnant woman regarding health maintenance behaviors. Which comment by the patient would alert the nurse that teaching is needed?
A. "I've been taking extra doses of vitamin A because I heard it will make my skin look very nice."
B. "If I get a headache or my back hurts, I usually take two acetaminophen tablets and rest for a while."
C. "I have had diabetes for many years. Since I've been pregnant, I've noticed that I need a little more insulin every day."
D. "When I get occasional gastric acid problems, I take a ranitidine (Zantac) tablet and that really helps."
A
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The nurse is assessing the client's abdomen and notes dullness when percussing over the left lower quadrant. Which of the following questions is most appropriate for the nurse to ask the client at this time?
1. "How much alcohol do you drink?" 2. "Do you have pain after eating?" 3. "When was your last bowel movement?" 4. "Have you ever had splenomegaly?"
A nurse is drawing a blood sample from a client's central line and the client suddenly becomes dyspneic and complains of chest pain. The priority action by the nurse is to
a. obtain blood pressure readings in both arms. b. notify the physician immediately. c. put the client in a left lateral Trendelenburg position. d. terminate the procedure and clamp the central line.
A patient arrives at the emergency department after waking up in the morning with progressive weakness, blurred vision, photophobia, and a change in voice quality
The patient had attended a banquet the previous evening and was asymptomatic at that time. These symptoms most likely indicate which of the following biologic agent exposures? 1. Botulism 2. Staphylococcal enterotoxin B 3. Ricin 4. Tricothecene mycotoxins
The nurse is caring for an African-American client who is scheduled to be treated with a beta-blocker medication. The nurse should recognize that this client may:
a. have a hyperactive response to this medication. b. develop a hypersensitivity reaction to this medication. c. respond poorly to treatment with this medication. d. develop multiple side effects in response to this medication.