The nurse tells a pregnant client that she can expect which laboratory test to be assessed at each prenatal clinic visit?
a. Blood pressure c. Serologic test for syphilis
b. Hemoglobin and hematocrit d. Urine for protein and glucose
D
Testing urine for glucose and protein is performed at each prenatal visit. Although blood pressure is monitored during each prenatal visit, it is not a laboratory test. Hemoglobin and hematocrit are assessed at the initial visit, but not reassessed unless problems necessitate they be measured again. Serologic test for syphilis is measured only on the initial visit.
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The nurse is using the nursing process to care for a patient with mental illness. At what point of the nurse-patient interaction will the nurse perform the assessment phase of the nursing process?
1. It begins at the first face-to-face meeting with the patient and continues until the evaluation phase. 2. It begins at the first face-to-face meeting with the patient and continues until the patient leaves the setting. 3. It may begin prior to the first face-to-face meeting with the patient, and it continues until the diagnosis phase. 4. It may begin prior to the first face-to-face meeting with the patient, and it continues until the patient leaves the setting.
Which of the following represents the blood flow between the heart and the lungs??
A) Vasodilatation B) Pulmonary circulation C) Systemic circulation D) Cardiac output
While auscultating heart sounds of a patient with heart failure, the nurse hears an extra heart sound immediately after the second heart sound (S2). The nurse should document this as a:
A) First heart sound (S1) B) Third heart sound (S3) C) Fourth heart sound (S4) D) Murmur
The nurse suspects clubfoot in the newborn and assesses for the condition by doing which of the following?
1. Adducting the foot and listening for a click. 2. Moving the foot to midline and determining resistance. 3. Extending the foot and observing for pain. 4. Stimulating the sole of the foot.