The clinic nurse discusses normal bladder function in pregnancy with a 22-year-old pregnant woman who is now in her 29th gestational week. The nurse explains that at this time in pregnancy, it is normal to experience (select all that apply):
a. Urinary frequency
b. Urinary urgency
c. Nocturia
d. Incontinence
ANS: a, b, c
During pregnancy, the bladder, a pelvic organ, is compressed by the weight of the growing uterus. The added pressure, along with progesterone-induced relaxation of the urethra and sphincter musculature, leads to urinary urgency, frequency, and nocturia. Incontinence of urine is not a normal change during pregnancy.
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A 67-year-old farmer is at the clinic because he has been sleepy during the day. Which sleep change occurs with age?
a. Older adults spend more time in stage 3. b. Older adults spend more time in REM sleep. c. Older adults spend more time in falling asleep. d. Older adults spend more time in deep sleep.
The nurse caring for a patient with malignant melanoma explains that the first and most important treatment for malignant melanoma is:
A) Chemotherapy B) Immunotherapy C) Wide excision D) Radiation therapy
Parents call the clinic and report that their toddler has had acute diarrhea for 24 hours. The nurse should further ask the parents if the toddler has which associated factor that is causing the acute diarrhea?
a. Celiac disease b. Antibiotic therapy c. Immunodeficiency d. Protein malnutrition
A client plans to go on a church missionary trip to Ethiopia. The client asks the licensed practical/vocational nurse, "Where should I look for information that instructs me about what I need to do medically to be prepared for such a trip?"
Which is the nurse's best response? A) "The Food and Drug Administration (FDA) provides the latest information about various immunizations dosages, side effects, and safety information." B) "The Centers for Disease Control and Prevention (CDC) provides up-to-date immunization requirements for travel to various countries outside of the United States." C) "The Health Resources and Services Administration (HRSA) provides what immunizations and resources are available to underserved areas." D) "The National Institute of Health (NIH) offers the up-to-date information about various contagious diseases and prevention measures."