The nurse is examining a pregnant client and notes the cervix is soft in texture and nontender. The nurse would correctly document which of the following conditions in this situation?
1. Nabothian cyst
2. Chadwick's sign
3. Hegar's sign
4. Goodell's sign
4
Rationale 1: Nabothian cysts are yellow and nodular and are benign areas that may appear after childbirth.
Rationale 2: Chadwick's sign, also occurring during pregnancy, is the appearance of a bluish-purple coloration of the cervix due to vascular congestion.
Rationale 3: Hegar's sign refers to the softening of the lower uterine segemt during pregnancy.
Rationale 4: During pregnancy, the vascularity of the cervix increases and contributes to the softening of the cervix. This is a normal finding called Goodell's sign.
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The nurse is caring for a client who was involved in a car accident. The client's spouse was killed in the accident. The couple has two teenage children. Which statement explains how this tragedy will be approached by the family?
A) The family feels that their place in the community has been eliminated. B) Family members may become detached from extended family. C) Family disorganization may occur. D) The family may withdraw into seclusion during the grief process.
The nurse is aware that the 82-year-old patient returning from surgery will need special attention relative to:
a. combating thirst. b. maintaining respiratory status. c. stabilizing blood pressure. d. maintaining core body temperature.
Because total parenteral nutrition (TPN) solutions are hyperosmolar, the nurse assesses the older adult client receiving TPN for signs of:
1. infection and intravascular dehydration. 2. cellular dehydration and heart failure. 3. hypoglycemia and hyperkalemia. 4. weight loss and fever.
A client states, "I get so sick to my stomach after chemotherapy. Why can't they just put it directly into my tumor?" Which nursing response is indicated?
1. "There is no technology available to directly place chemotherapy in a tumor." 2. "These are such strong medications that they would eat up your tissues." 3. "That type of therapy does exist, but it does not work for your particular type of cancer." 4. "I know you get sick, but the nausea and vomiting is not severe and passes quickly."