Nokea
A nurse is collecting data from a client who has hyperemesis gravidarum.
Which of the following findings should the nurse anticipate?
- A. Poor skin turgor
- B. Decreased pulse rate
- C. Increased fundal height
- D. Proteinuria
Correct Answer: A
Rationale: Poor skin turgor indicates dehydration, a common consequence of severe vomiting in hyperemesis gravidarum.
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A nurse is reinforcing teaching with a client about various contraceptive methods.
Which of the following statements should the nurse include in the teaching?
- A. Combined estrogen-progestin contraceptive pills cause longer periods.
- B. You will need to have your diaphragm replaced every 4 years.
- C. Oral contraceptives decrease the risk for endometrial cancer.
- D. You will need to receive a medroxyprogesterone acetate injection once per month.
Correct Answer: C
Rationale: Combined oral contraceptives reduce the risk of endometrial cancer by suppressing ovulation and stabilizing hormone levels, preventing endometrial proliferation.
A nurse is assisting with the admission of a client who has hyperemesis gravidarum.
Which of the following laboratory tests is the priority to complete?
- A. CBC
- B. Serum bilirubin
- C. Urinalysis of ketones
- D. Liver enzymes
Correct Answer: C
Rationale: Urinalysis for ketones is the priority as it indicates ketosis from prolonged vomiting, guiding the need for IV fluids and nutritional support in hyperemesis gravidarum.
A nurse is caring for a client who inquires about available methods of contraception.
Which of the following actions should the nurse take?
- A. Collect a dietary history
- B. Perform unbiased teaching
- C. Select the best method of contraception for the client
- D. Assess the client's socioeconomic status.
Correct Answer: B
Rationale: Providing comprehensive, nonjudgmental education on all contraceptive methods allows the client to make an informed decision based on their preferences and needs.
A nurse is reinforcing teaching about outpatient resources for a client who is recovering from a molar pregnancy.
Which of the following statements by the client indicates an understanding of the teaching?
- A. I will need to start chemotherapy immediately.
- B. I will need an amniocentesis within 1 month.
- C. I will need to attend a support group when I get home.
- D. I will need home palliative services after I am discharged from the hospital
Correct Answer: C
Rationale: A support group provides emotional support for the loss and concerns associated with a molar pregnancy.
A nurse is caring for a client who had a vaginal delivery 4 hr ago and reports perineal pain of 6 on a scale of 0 to 10.
Which of the following actions should the nurse take?
- A. Catheterize the client's bladder
- B. Offer an ice pack to the client during the first 24 hrs
- C. Apply a corticoid cream to the perineal area twice daily
- D. Increase the client's fluid intake for 48 hrs
Correct Answer: B
Rationale: Ice packs reduce perineal swelling and pain within the first 24 hours post-delivery.