The pregnant client at 16 weeks' gestation has hemoglobin level of 10.5 . Her pre-pregnancy hemoglobin level was 13.0 . Which of the following statements should the nurse use to best explain this change to the client?
A. "You are having a problem in pregnancy not making enough red cells."
B. "Because your blood volume has increased, your hemoglobin has dropped."
C. "This change may indicate a serious problem that might harm your baby."
D. "You are not eating nearly enough iron-rich foods like meat."
B
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An intravenous pyelogram confirms the presence of a 4-mm renal calculus in the proximal left ureter of a newly admitted patient. Physician orders include meperidine (Demerol) 100 mg IM q4h PRN, strain all urine, and encourage fluids to 4000 mL/day
What should be the nurse's highest priority when planning care for this patient? a. Pain related to irritation of a stone b. Anxiety related to unclear outcome of condition c. Ineffective health maintenance related to lack of knowledge about prevention of stones d. Risk for injury related to disorientation
The nurse is caring for a patient who is active duty military. The nurse suspects the patient may be suicidal. According to current research on laboratory values and suicide, which action by the nurse would be most appropriate?
1. Review the patient's vitamin K level 2. Review the patient's vitamin D level 3. Review the patient's serum calcium level 4. Review the patient's serum potassium level
The dying client and family have been approached by their physician to consider a move to a hospice-like facility for palliative care
The family members tell the nurse they are afraid that their loved one will receive only custodial care because therapy for a cure is no longer being pursued. What is the nurse's best response? A. "The goal of palliative care is to provide the greatest degree of comfort possible and help the dying person enjoy whatever time is left." B. "Palliative care will release you from the burden of having to care for someone in the home; it does not mean that curative treatment will stop." C. "A palliative care facility is like a nursing home, which costs less than a hospital because less care is being provided." D. "Your loved one is unaware of his surroundings and will not notice the difference between home and a palliative care facility."
During prenatal classes for expectant parents, the perinatal nurse explains that fetal brain development is most critical during gestational weeks:
A) 2–8 B) 3–16 C) 5–24 D) 6–14