Which assessment data should the nurse report to the MD/CNM in a client who is 10 weeks pregnant?
a. Constipation
b. Frequency of urination, no dysuria
c. Nausea and vomiting all day
d. Occasional mild headache relieved by Tylenol
C
Nausea and vomiting all day may indicate hyperemesis gravidarum. Constipation, frequent urination without dysuria, and occasional mild headache are normal discomforts of pregnancy.
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A comatose patient with a traumatic brain injury is being tested for cranial nerve damage. The nurse passes a wisp of cotton over the lower conjunctiva of each eye
The patient's lower eyelid in each eye twitches when the cotton makes contact with the cornea. The nurse recognizes that this result indicates which of the following? A) The trigeminal nerve is functioning properly but the facial nerve is not B) The facial nerve is functioning properly but the trigeminal nerve is not C) Neither the trigeminal nerve nor the facial nerve is functioning properly D) Both the trigeminal and the facial nerves are functioning properly
A child had an aortic stenosis defect surgically repaired 6 months ago. Which antibiotic prophylaxis is indicated for an upcoming tonsillectomy?
a. No antibiotic prophylaxis is necessary. b. Amoxicillin is taken orally 1 hour before the procedure. c. Oral penicillin is given for 7 to 10 days before the procedure. d. Parenteral antibiotics are administered for 5 to 7 days after the procedure.
Knowing that protein is required for tissue growth, maintenance, and repair, the nurse must un-derstand that for optimal tissue healing to occur, the patient must be in
a. Negative nitrogen balance. b. Positive nitrogen balance. c. Total dependence on protein for kcal pro-duction. d. Neutral nitrogen balance.
An advantage of using the Q-sort technique is its relative ease of administration
A) True B) False