After her examination, P.M. states that she is worried because her sister had an ectopic
pregnancy and had to have surgery. She asks you, "What are the signs of an ectopic
pregnancy?" Which of these are correct? Select all that apply.
a. Fullness and tenderness in her abdomen, near the ovaries
b. Pain, either unilateral, bilateral, or diffuse over the abdomen
c. Nausea
d. Dark red or brown vaginal bleeding
e. Increased fatigue
a, b, d
Signs and symptomsof an ectopic pregnancy include adnexal fullness and tenderness; tenderness
that progresses to a colicky pain when the tube stretches; pain that is unilateral, bilateral, or diffuse
over the abdomen; and dark red or brown abnormal vaginal bleeding. If the ectopic pregnancy
ruptures, pain increases. Referred shoulder pain can occur from diaphragmatic irritation caused
by blood in the peritoneal cavity. The patient might exhibit signs of shock related to the amount
of bleeding within the abdominal cavity. Nausea and increased fatigue might occur with normal
pregnancies.
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1. Apathy2. Social withdrawal3. Anhedonia4. Auditory hallucinations 5. Delusions
The nurse is checking on a client who is up in a chair and is reading the morning newspaper. The nurse should plan to assess the client for presbyopia because the client:
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The client receiving clozapine asks the nurse why she needs weekly blood tests. The nurse's best response is:
a. "Clozapine can cause a blood disorder, so we monitor you weekly to detect it early." b. "We routinely do weekly blood tests on clients receiving antipsychotic medications." c. "It is nothing to be concerned about, but be sure to keep your weekly appointments." d. "I really don't know, but we can ask your doctor at your next visit."
The client is at 20 weeks gestation, and asks the nurse what would be typical of a fetus at 20 weeks? How should the nurse reply? (Select all that apply.)
A. "The fetus has a body weight of 435 to 465 g." B. "The fetus actively sucks and swallows amniotic fluid." C. "The kidneys begin to produce urine." D. "Nipples appear over the mammary glands." E. "Activity and movement happens about once per day."