For the last 3 months of the client's pregnancy, she has been on bed rest per her physician's orders. She states, "I really don't go outside right now because it's so cold."
During further questioning by the nurse, the client admits that she doesn't drink as much milk as she was advised to drink during this pregnancy. The client's baby is at risk for developing which of the following health problems? (Select all that apply.) 1. Low birth weight
2. Hypercalcemia
3. Osteopenia
4. Macrosomia
5. Incomplete lung development
1, 3, 5
Rationale: This client has not been receiving adequate amounts of vitamin D and calcium. The client's child is at risk for being born prematurely due to pre-term labor. The child may be born with a low birth weight and osteopenia. This child has a higher risk of developing rickets. This child is not at risk for hypercalcemia or macrosomia. Hypercalcemia is when there are high levels of serum calcium present. Macrosomia is when the child has an increased birth weight and this is often due to maternal diabetes mellitus and high levels of serum glucose.
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The nurse is explaining to a client with chronic pain why the physician has ordered a nonsteroidal anti-inflammatory drug (NSAID) to be given together with an opioid analgesic. Which is the most accurate statement?
a. The NSAID will decrease the likelihood of respiratory depression caused by the opioid. b. The NSAID targets muscle pain while the opioid relieves central nervous system irritation. c. Giving the medications together will provide better relief of pain while decreasing the amount of opioid medication required. d. Giving the medications together reduces the need for additional pain medication during nighttime hours.
While performing an admission assessment on a moderately anemic client, the nurse would expect to find a history of
a. blurred vision. b. cardiac palpitations. c. increased appetite. d. warm, flushing sensations.
Sam Butler is an occupational health nurse at a large hospital. Recently Sam read several recommendations by the Centers for Disease Control and Prevention (CDC) and reports of incidence and prevalence studies,
and he is aware that tuberculosis raters are increasing in his area. Which of the following is a secondary prevention strategy Sam might propose to the hospital board? 1. Installation of a high-exchange ventilation system to decrease potential contamination by droplet nuclei 2. Placing all HIV-positive clients on respiratory isolation 3. Routine monitoring of medication compliance for all diagnosed cases of tuberculosis 4. Yearly screening of all hospital employees
A mother has a child that is diagnosed with sickle cell anemia. While the mother does not have the disease, which characteristic of her genetic makeup is responsible for the child's disease?
a. Hb S and Hb S b. Hb S and Hb A c. Hb S and Hb C d. Hb A and Hb C