A client is in her 12th week of gestation. Her laboratory test results show high titers of anticardiolipin antibodies. The nurse interprets this finding to suggest which of the following conditions?
A) Congestive heart failure
B) Ectopic pregnancy
C) Antiphospholipid syndrome
D) Sickle cell anemia
C
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A client has suffered a mild stroke. Which type of nursing diagnosis would reflect the client's health status?
a. wellness c. perceived b. risk d. actual
A student nurse is assisting with the care of a 50-year-old man who is being treated in the emergency department for hypothermia. The student asks the charge nurse why the patient is having his heart monitored
The nurse's best explanation would be that the heart is being moni-tored because serious arrhythmias can be caused by: a. rapidly rising blood pressure from infusing IV fluids. b. adrenal output of epinephrine in response to cold stress. c. lactic acid being shunted from pooled blood in the extremities. d. vasodilation from the warming process.
A 6-month-old infant with Hirschsprung disease is scheduled for a temporary colostomy. What should postoperative teaching to the parents include?
a. Dilating the stoma b. Assessing bowel function c. Limitation of physical activities d. Measures to prevent prolapse of the rectum
The general treatment of common reactions to immunizations is:
a. cool alcohol sponges for 15 minutes of every hour b. heat to the injection site c. acetaminophen every 4 to 6 hours for a total of 3 doses d. Benadryl 50 mg every 4 to 6 hours for a total of 3 doses