The nurse is assessing a patient in the third trimester of pregnancy. What physiologic changes in the patient are expected? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. The patient's chest circumference has increased by 5 cm during the pregnancy.
2. The patient has a narrowed subcostal angle.
3. The patient is using thoracic breathing.
4. The patient has a respiratory rate of 30.
5. The patient has a productive cough.
1,3
Rationale 1: As the fetus grows, the lower rib cage expands, leading to an increased chest circumference.
Rationale 2: As the fetus grows, the lower rib cage expands, leading to a widened subcostal.
Rationale 3: Thoracic breathing is one mechanism that facilitates increased oxygen intake.
Rationale 4: The respiratory rate will increase slightly, but 30 breaths per minute is tachypnea.
Rationale 5: A productive cough is never a normal finding.
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Women with a normal body mass index are recommended to have a weight gain of how many pounds during pregnancy?
a. 15 to 20 b. 20 to 40 c. 25 to 35 d. 30 to 45
The nurse is caring for a client who is recovering from abdominal surgery. When determining the best goal statement for the client concerning level of pain, which of the following is most appropriate?
1. The client will verbalize pain relief using an intensity rating in 4 hours. 2. The client will state that he feels fine in 4 hours. 3. The nurse will observe fewer signs of pain in the client's demeanor. 4. The nurse will reevaluate the client's pain level every 2 hours.
An older adult patient in the intensive care unit recovering from an abdominal aortic aneurysm repair begins to show signs of delirium. The nurse realizes that which situation is the most likely cause of this change in mentation?
1. The patient's intravenous line is infiltrated. 2. The patient has been NPO (nothing by mouth) for an extended period of time. 3. The patient's oxygen saturation has dropped from 96% to 90%. 4. The patient was started on a patient-controlled analgesia (PCA) pump with morphine.
Fibrocystic breasts are most commonly found in which age group?
a. teenage females b. postmenopausal women c. women between 20 and 30 years of age d. women between 30 and 50 years of age