The primary symptom present in abruptio placentae that distinguishes it from placenta previa is:
a. vaginal bleeding.
b. rupture of membranes.
c. presence of abdominal pain.
d. changes in maternal vital signs.
C
Pain in abruptio placentae occurs in response to increased pressure behind the placenta and within the uterus. Placenta previa manifests with painless vaginal bleeding.
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A patient being treated for depression has been taking 300 mg amitriptyline (Elavil) daily for nearly a year
She calls her case manager at the mental health clinic, stating she stopped taking her antidepressant 2 days ago and has developed something like the "flu," with cold sweats, nausea, a rapid heartbeat, terrible nightmares when she sleeps, but no other symptoms. How should the nurse respond? a. Advise her to go to the nearest emergency department for an evaluation. b. Tell her to take two aspirin, drink plenty of fluids, and call her family doctor. c. Explain it may be withdrawal; tell her to take one Elavil and contact her doctor. d. Direct her to take the medicine every other day for 2 weeks, then stop.
Which action should the nurse do to provide support and encouragement to the new postpartum client?
a. Recount how she solved her own problems. b. Correct the new mother at every opportunity. c. Praise the mother's early attempts at infant care. d. Explain to the new mother that everything will be fine.
When the mental health nurse assesses her client, who has been admitted to an inpatient psychiatric unit for depression, she takes into account that the family will not have income while the client is hospitalized
This assessment by the nurse regarding the impact of client's hospitalization on the family system can best be described as what? A) A theoretical approach, whereby the nurse uses systems-oriented theory to understand her client and to plan his care B) A practical approach, wherein the nurse can now work to get some funds for the family C) An outcome-oriented approach, whereby the nurse sees lack of funds as an outcome D) A somewhat ineffective way to look at this hospitalization because the client is now ill
The nurse recognizes the high incidence and prevalence of polypharmacy among older adults. Which of the following measures should the nurse take to prevent and resolve polypharmacy among these clients?
A) Encouraging clients' physicians and pharmacists to carefully review clients' medication administration records to identify potential interactions B) Instructing older adults to ensure that at least 2 hours elapse between taking each of their medications C) Teaching older adults to ensure that they have all of their prescriptions filled at only one pharmacy D) Informing clients that they should temporarily withhold their medications if they experience side effects