Joyce, a 17-year-old high school student, has failed to gain weight in the first trimester of pregnancy. She avoids eye contact at her monthly visit and complains of fatigue. Joyce should be assessed for:
A) PIH
B) Gestational diabetes
C) Depression
D) Hydatiform mole
C
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A client in the cardiac stepdown unit reports severe, crushing chest pain accompanied by nausea and vomiting. What action by the nurse takes priority?
a. Administer an aspirin. b. Call for an electrocardiogram (ECG). c. Maintain airway patency. d. Notify the provider.
A pregnant woman states, "My husband hopes I will give him a boy because we have three girls." What will the nurse explain to this woman?
a. The sex chromosome of the fertilized ovum determines the gender of the child. b. When the sperm and ovum are united, there is a 75% chance the child will be a girl. c. When the pH of the female reproductive tract is acidic, the child will be a girl. d. If a sperm carrying a Y chromosome fertilizes an ovum, then a boy is produced.
A nurse administers timolol [Timoptic] ophthalmic drops to a patient who has glaucoma. The patient reports stinging of the eyes shortly after the drops were administered. What will the nurse do?
a. Monitor the patient's heart rate, respira-tory rate, and blood pressure. b. Notify the provider that the patient shows signs of angle-closure glaucoma. c. Reassure the patient that these are loca-lized, reversible effects of the drug. d. Request an order for an antihistamine to treat this allergic response to the drug.
If a patient with cancer is receiving a combination of chemotherapeutic agents that is known to interfere with bone marrow, they should give special attention to prevention of
a. dehydration. b. foodborne illness. c. nausea and vomiting. d. loss of bone mass.