A pregnant client is diagnosed with cervical insufficiency. How should the nurse expect this client to explain symptoms of this condition?

1. "I've been having contractions every 4 hours."
2. "I'm not having any pain and I do not feel any contractions."
3. "My cervical pain has gotten much worse over the past 2 days."
4. "I'm not having any pain, but my contractions are getting stronger."


2
Explanation:
1. Contractions are not associated with cervical insufficiency.
2. Cervical insufficiency is painless dilatation of the cervix without contractions due to a structural or functional defect of the cervix.
3. Cervical pain is not a manifestation of cervical insufficiency.
4. Contractions are not associated with cervical insufficiency.

Nursing

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The critical care nurse is precepting a new nurse on the unit. Together they are caring for a patient who has a tracheostomy tube and is receiving mechanical ventilation. What action should the critical care nurse recommend when caring for the cuff?

A) Deflate the cuff overnight to prevent tracheal tissue trauma. B) Inflate the cuff to the highest possible pressure in order to prevent aspiration. C) Monitor the pressure in the cuff at least every 8 hours D) Keep the tracheostomy tube plugged at all times.

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A patient's PaO2 level is 76 mm Hg. The nurse would be least concerned regarding this finding in which patient?

1. The patient is 83 years old. 2. The patient is recovering from anesthesia. 3. The patient is a smoker. 4. The patient is intubated.

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The main difference in Duvall's view of the Family Development Theory and other theorists is:

1. Family is placed into categories throughout its lifespan. 2. A healthy family is open-minded and shares love. 3. A family cutting off emotionally from others is viewed as healthy. 4. Families are viewed as constantly adjusting due to crisis.

Nursing

A nurse is working with a client diagnosed with somatic symptom disorder. Which of the following would the nurse identify as the most difficult aspect of providing care to this client?

A) Managing the client's pain B) Relieving the client's anxiety C) Developing the therapeutic relationship D) Monitoring the client's treatment program

Nursing