The nurse has received end-of-shift reports in the high-risk maternity unit. Which client should the nurse see first?
1. The client at 26 weeks' gestation with placenta previa experiencing blood on toilet tissue after a bowel movement
2. The client at 30 weeks' gestation with placenta previa whose fetal monitor strip shows late decelerations
3. The client at 35 weeks' gestation with grade I abruptio placentae in labor who has a strong urge to push
4. The client at 37 weeks' gestation with pregnancy-induced hypertension whose membranes ruptured spontaneously
1
Explanation: 1. Assessment of the woman with placenta previa must be ongoing to prevent or treat complications that are potentially lethal to the mother and fetus. Painless, bright red vaginal bleeding is the best diagnostic sign of placenta previa. This client is the highest priority.
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Gerontologic nursing is a specialty area of nursing that provides care for the elderly in our population. What goal of care should a gerontologic nurse prioritize when working with this population?
A) Helping older adults determine how to reduce their use of external resources B) Helping older adults use their strengths to optimize independence C) Helping older adults promote social integration D) Helping older adults identify the weaknesses that most limit them
The nurse assesses the reproductive system of an older adult. Which of the following questions should the nurse consider including in the interview?
A) "Do you ever have secretions, blood, or other discharge from your genitals?" B) "Does your partner have satisfying orgasms?" C) "When was the last time you had sexual intercourse?" D) "With whom do you have sexual intercourse?"
Antioxidants are thought to offer a protective effect against cancer. The nurse teaches clients that which beverage also increases longevity and mental alertness, and provides a mild diuretic effect?
1. Orange pekoe 2. Echinacea 3. Black tea 4. Green tea
A 10-year-old boy is diagnosed with a disturbance of the anterior pituitary lobe causing overproduction of the growth hormone STH. Which of the following disorders will occur with this condition?
A) Acromegaly B) Gigantism C) Syndrome of inappropriate antidiuretic hormone (SIADH) D) Diabetes insipidus