An ultrasound on a woman who is 32 weeks pregnant reveals the placenta implanted over the entire cervical os. What does the nurse understand best describes this condition?
a. Low-lying placenta
b. Marginal placenta previa
c. Partial placenta previa
d. Total placenta previa
ANS: D
A total placenta previa describes a condition in which the placenta completely covers the cervical opening.
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A patient has achieved pain control with an oral opioid and is tolerant of its sedative effects but is having severe constipation. The nurse has contacted the healthcare provider about prescribing a different opioid. What should the nurse anticipate regarding the new drug?
1. The new opioid will be administered by the intravenous route. 2. There will be an increased need to observe the patient for sedation. 3. The starting dose of the new medication will be lower than the equianalgesic dose of the original medication. 4. It will be necessary to add an adjuvant medication to achieve equal pain control. 5. The newly prescribed medication will be a pure opioid agonist.
The nurse caring for older adults in a long-term care facility compares the residents' current weight with their usual weight. Which of the following would be a significant finding that should be reported to the physician?
A) Weight loss within the past month that is greater than 5% of the total body weight B) Weight loss within the past month that is greater than 10% of the total body weight C) A loss of 5% or more of body weight within the past 3 months D) A loss of 15% or more of body weight within the past 6 months
When an ICU nurse consults unit policy and administers a routinely used medication to a client admitted to the unit with severe hypotension, this is an example of the nurse implementing which of the following?
1. A STAT order 2. A one-time order 3. A prn order 4. A standing order
A patient has a history of excessive use of magnesium-containing antacids and aluminum-containing antacids. What lab value does the healthcare professional correlate to this behavior?
a. Magnesium 1.8 mg/dL b. Phosphate 1.9 mg/dL c. Sodium 149 mEq/L d. Potassium 2.5 mEq/L