A nurse refers which pregnant client for additional assessment?
a. A woman at 36 weeks gestation who has 30% effacement of the cervix
b. A woman at 19 weeks gestation who has noticed fetal movement every day this week
c. A woman at 20 weeks gestation who has gained four pounds in the last two weeks
d. A woman at 28 weeks gestation who has a systolic blood pressure of 40 mg Hg over baseline
ANS: D
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With which patient should a carbonic anhydrase inhibitor be avoided as a treatment of glaucoma?
a. A patient with reduced vision b. A patient with sulfa allergy c. A patient with hypertension d. A patient with diabetes
A 55-year-old patient with increasing dyspnea is being evaluated for a possible diagnosis of chronic obstructive pulmonary disease (COPD)
When teaching a patient about pulmonary function testing (PFT) for this condition, what is the most important question the nurse should ask? a. "Are you claustrophobic?" b. "Are you allergic to shellfish?" c. "Do you have any metal implants or prostheses?" d. "Have you taken any bronchodilators in the past 6 hours?"
The patient receives reteplase (Retavase) intravenously (IV). The nurse assesses the patient for orientation and level of consciousness. The patient's wife asks the nurse why this is being done. What does the nurse indicate as the reason for the assessment?
1. The medication can alter fluid balance; this affects orientation and level of consciousness. 2. The medication can cause bleeding in the brain; this affects orientation and level of consciousness. 3. The medication causes hypoglycemia; this affects orientation and level of consciousness. 4. The medication decreases oxygen to the brain; this decreases orientation and level of consciousness.
A patient refuses an influenza vaccine and asks the primary care nurse practitioner (NP) if the influenza medications will prevent him from getting influenza
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