While you are assessing the vital signs of a pregnant woman in her third trimester, the patient complains of feeling faint, dizzy, and agitated. Which nursing intervention is appropriate?
a. Have the patient stand up and retake her blood pressure.
b. Have the patient sit down and hold her arm in a dependent position.
c. Have the patient lie supine for 5 minutes and recheck her blood pressure on both
arms.
d. Have the patient turn to her left side and recheck her blood pressure in 5 minutes.
D
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A Pressures are significantly higher when the patient is standing. This option
causes an increase in systolic and diastolic pressures.
B The arm should be supported at the same level of the heart.
C The supine position may cause occlusion of the vena cava and descending aorta,
creating hypotension.
D Blood pressure is affected by positions during pregnancy. The supine position
may cause occlusion of the vena cava and descending aorta. Turning the
pregnant woman to a lateral recumbent position alleviates pressure on the blood
vessels and quickly corrects supine hypotension.
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A) Removes secretions from the upper portion of the lower airway through a nasally inserted catheter. B) Removes secretions from the bottom portion of the lower airway through a nasally inserted catheter. C) Removes secretions from the mouth using a Yankeur-tip or tonsil-tip catheter. D) Removes secretions from the throat through a nasally inserted catheter.
Which is the most significant contributing factor to the occurrence of placental abruption?
a. Macrosomia c. Gestational diabetes b. Maternal hyperten-sion d. Low parity
When preparing an individualized teaching plan for a client with rheumatoid arthritis, which topic should the nurse omit from the generalized teaching plan for clients with arthritis?
a. ulnar drift b. Heberden nodes c. Swan neck deformity d Boutonniere deformity
The nurse who is counseling a client with a dissociative disorder should understand that the
assessment of highest priority is a. risk for self-harm. b. cognitive functioning. c. identification of drug abuse. d. readiness to reestablish identity or memory.