A client who is 36 weeks pregnant tells the nurse that she felt dizzy during the examination while the doctor was listening to the baby's heartbeat. The nurse recognizes that this client was probably experiencing which of the following?
a. Hypoglycemia
b. A cardiac arrhythmia
c. A rise in blood pressure due to position
d. Vena cava syndrome
D
Vena cava syndrome is also referred to as supine hypotension. It occurs in women close to term due to decreased blood flow to the right atria secondary to uterine pressure against the vena cava when the client is supine. Hypoglycemia and cardiac arrhythmia are caused by a pathological process and positioning. Usually the blood pressure decreases, resulting in supine hypotension.
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The nurse uses a chart to demonstrate the cognitive impairment, facial abnormalities, and growth retardation in the fetus that are characteristic of:
a. fetal dependency. b. fetal immaturity. c. malnutrition dependency. d. fetal alcohol syndrome.
The clinical guidelines for management of incontinence developed by the Registered Nurses Association of Ontario (RNAO):
a. Reflect practice that is fiscally directed and sound. b. Articulate practice recommendations de-veloped from synthesis and review of evidence. c. Are intended to increase awareness of is-sues in incontinence management. d. Reflect a compilation of information from a variety and range of sources related to incontinence.
A client reports not taking any dietary supplements but later says that glucosamine is taken three times a day for arthritis pain. What should the nurse respond to this client?
a. "Other clients have told you how much glucosamine helps pain." b. "Glucosamine is considered a dietary supplement, not a medication." c. "Glucosamine has not received any negative reports so should be OK to use." d. "You should discuss all dietary supplements with your healthcare provider before using them to avoid adverse effects."
Which client should the nurse assess for hemolysis and jaundice?
A. 48-year-old taking one aspirin a day to prevent a second myocardial infarction B. 42-year-old taking zidovudine and foscarnet (Foscavir) daily for HIV/AIDS C. 78-year-old taking 40 mg of furosemide (Lasix) daily for mild CHF D. 27-year-old with mitral valve prolapse taking penicillin daily