A nursing student is reviewing an article about preterm premature rupture of membranes. Which of the following would the student expect to find as factor placing a woman at high risk for this condition? (Select all that apply.)
A) High body mass index
B) Urinary tract infection
C) Low socioeconomic status
D) Single gestations
E) Smoking
B, C, E
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High-risk factors associated with preterm PROM include low socioeconomic status, multiple gestation, low body mass index, tobacco use, preterm labor history, placenta previa, abruptio placenta, urinary tract infection, vaginal bleeding at any time in pregnancy, cerclage, and amniocentesis.
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The nurse is performing a focused interview with a client who has been cleaning the ears with a cotton-tipped applicator. Which complications of this practice will the nurse include in the teaching session for this client?
Select all that apply. 1. Increasing risk of developing otitis externa. 2. Developing tophi along the outer rim of the ears. 3. Perforating the tympanic membrane. 4. Needing tympanostomy tubes. 5. Impacting cerumen.
The nurse is caring for a client whose wound dehisces after vomiting. What is the nurse's first action?
a. Prepare the client for emergency surgery. b. Cover the wound with sterile moist dress-ings. c. Give the client medication for nausea. d. Call the surgeon and the operating room.
Your 70-year-old client suffers from severe, escalating pain secondary to metastatic prostate cancer. He has been referred to hospice for palliative care
He believes that the pain will never go away because it is punishment from God for the bad things he has done. Which of the following nursing diagnoses would be appropriate? 1. Ineffective coping 2. Hopelessness 3. Acute pain 4. Chronic pain
The primary care nurse practitioner (NP) sees a patient in the clinic who has a blood pressure of 130/85 mm Hg
The patient's laboratory tests reveal high-density lipoprotein, 35 mg/dL; triglycerides, 120 mg/dL; and fasting plasma glucose, 100 mg/dL. The NP calculates a body mass index of 29 . The patient has a positive family history for cardiovascular disease. The NP should: a. prescribe a thiazide diuretic. b. consider treatment with an angiotensin-converting enzyme inhibitor. c. reassure the patient that these findings are normal. d. counsel the patient about dietary and lifestyle changes.