The vital signs of a postpartum patient on day 1 after delivery are: Temp 99ºF, RR 18, HR 78, BP 140/90. What is the appropriate intervention by the nurse?
A) Report the slight elevation in BP
B) Nothing, the vital signs are within normal limits
C) Recheck all vital signs in 30 minutes
D) Recheck only the BP in 30 minutes
Ans: A
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A 33-year-old patient presents at the clinic with complaints of weakness, incoordination, dizziness, and loss of balance. The patient is hospitalized and diagnosed with MS. What sign or symptom, revealed during the initial assessment, is typical of MS?
A) Diplopia, history of increased fatigue, and decreased or absent deep tendon reflexes B) Flexor spasm, clonus, and negative Babinski's reflex C) Blurred vision, intention tremor, and urinary hesitancy D) Hyperactive abdominal reflexes and history of unsteady gait and episodic paresthesia in both legs
A patient with stage 3 Alzheimer's disease tires easily and prefers to stay home rather than attend social activities. The spouse does the grocery shopping because the patient cannot remember what to buy. Which nursing diagnosis applies at this time?
a. Self-care deficit b. Impaired memory c. Caregiver role strain d. Adult failure to thrive
A nurse is caring for a 17-year-old pregnant woman. The woman needs to buy a baby bed and obtain baby items. The nurse should encourage the client to go to:
A) the visiting nurse association B) a resale shop C) a rental equipment store D) the welfare office
The average onset of perimenopause is between the ages of:
A. 35 to 40 years. B. 40 to 45 years. C. 45 to 50 years. D. 50 to 55 years.