Trainer #1

Several days after the delivery of a stillborn, the parents says, "we wish we could talk other couples who have gone through this trauma." which response be the nurse is best?

"SHARE will provide you with this opportunity." -> SHARE IS A SUPPORT GROUP FOR PARENTS WHO HAVE LOST A NEWBORN OR HAVE EXPERIENCED A MISCARRIAGE.

Which statement should be documented by the nurse to reflect a client's emotional adjustment to being hospitalized in the ICU?

"The client constantly calls for nurses and cries uncontrollably."-> GIVES AN OBJECTIVE DESCRIPTION OF THE CLIENT'S BEHAVIOR AND AFFECT.

The parents of a child diagnosed with hemophilia asks the nurse to explain the cause of the disease. Which response by the nurse is best?

"The mother transmits the gene to her son"-> HEMOPHILIA IS A SEX-LINKED DISORDER.

At 32 weeks gestation, a client has an order for an ultrasound. "the nurse determines the client understands the procedure if the client makes which statement? 1. The results will inform us of the baby's size 2. This test will evaluate the baby's lungs 3. The test will show us if there is any problem in the baby's genes 4. Early problems with the baby's blood can be identified with this test.

"The results will inform us of the baby's size. gestational age."-> ULTRASOUND DETECTS THE GESTATIONAL AGE.

The nurse cares for a client diagnosed with gastric reflux due to a hiatal hernia. The client asks the nurse why food and fluids should be withheld just before going to bed. Which response by the nurse is most appropriate?

"You are less likely to awaken during the night with heartburn if the stomach is empty."-> FULL STOMACH IS MORE LIKELY TO SLIDE (REFLUX) THROUGH THE HERNIA, CAUSING REGURGITATION AND HEARTBURN.

The nurse recognizes which symptoms are early signs of lithium toxicity?

1. Fine motor tremors. 4. Nausea and vomiting. 6. Diarrhea.

The nurse cares for clients in the outpatient clinic. In which order will the nurse return the messages?

1. The "soft spot" on the heard of the 4-day-old feel slightly elevated when asleep. -> BULGING FONTANELLE MAY INDICATE INCREASED INTRACRANIAL PRESSURE AND IS MOST SERIOUS. 2. The circumcision site of the 3-day-old is slightly swollen.-> CIRCUMCISION SHOULD HAVE YELLOWISH EXUDATE AT THIS TIME, BUT SWELLING IS NOT NORMAL AND MAY INTERFERE WITH URINATION. 3. The umbilical cord of the 5-day-old is soft and draining exudate-> UMBILICAL CORD SHOULD BE DRY AND HARD; DRAINING INDICATES A POSSIBLE INFECTION AND NEEDS TO BE ASSESSED. 4. When bed is bumped, a 2-day-old rapidly extends the extremities-> DESCRIBES THE MORO REFLEX AND IS NORMAL.

Which symptoms might alert the nurse to consider an alcohol problem in a client hopsitalized for a physical illness?

1. Tremors. 2. Elevated temperature. 4. Nocturnal leg cramps.

The 6-month-old is brought to the clinic for a well-baby check-up. During the exam, the nurse expects to observe which assessment findings?

2. Sitting with support. 5. Playing peek-a-boo. 6. Rolling from back to abdomen.

The nurse leads a parenting class for a group of expectant clients. How many extra calories a day does the nurse advise the clients to consume to support breastfeeding?

500-> MILK PRODUCTION REQUIRES AN INCREASE OF 500 CALORIES PER DAY.

The nurse cares for a client receiving docusate 100mg through a gastric tube. The solution contains 150mg/15mL. The nurse should administer how many mL of the solution to the client?

ANSWER: 10 mL 100mg/X mL= 150mg/15mL 1500mg/mL=150mg/XmL 1500mg/mL / 150mg X= 10 mL

The nurse cares for the client receiving D5 0.45% NS 1,000 mL to run from 0900 to 1700. The drip factor on the delivery tubing is 20 gtt/mL. At what are does the nurse set the IV to drip?

ANSWER: 42 gtt/min 1000mL/8 hours=125 mL/hour 125mL/hour x 20 gtt/mL / 60 minutes= 42 gtt/min

The nurse on a psychiatric unit of the hospital declines a client's request to organize a party on the unit for the client's friends. The client becomes angry and uses abusive language toward the nurse. Which statement indicates the nurse has an understanding of the client's behavior?

Abusive language is one of the behaviors symptomatic of the client's illness. -> SYMPTOMS WILL RESPOND TO TREATMENT.

In planning diet teaching for a child in the early stages of nephrotic syndrome, the nurse should discuss with the parents which dietary change?

Adequate protein, low sodium intake.-> IF CHILD CAN TOLERATE THE PROTEIN INTAKE, THEN THIS DIET IS ENCOURAGED TO SPEED HEALING; SODIUM IS USUALLY RESTRICTED.

The nurse cares for the newborn infant diagnosed with fetal alcohol syndrome. The nurse expects to see which characteristics?

An infant with a small head circumference, low birth weight, and undeveloped cheekbones.

In the process of a normal adjustment to a terminal illness, the nurse knows that the client's initial denial and isolation will give way to the second stage. The second stage is characterized by which behavior?

Anger

The nurse identifies which finding would have the greatest impact on the elderly client's ability to complete activities of daily living (ADLs)?

Apraxia-> APRAXIA IS LOSS OF PURPOSEFUL MOVEMENT IN THE ABSENCE OF MOTOR OR SENSORY IMPAIRMENT; WHEN IT AFFECTS AN ADL, SUCH AS DRESSING, THE CLIENT MAY NOT BE ABLE TO PUT CLOTHES ON PROPERLY.

The nurse is discussing growth and development with the parents of a 4-year child. The nurse identifies which type of play as characteristic of this age group?

Associative play -> Associative play is a form of play in which a group of children participate in similar or identical activities without formal organization, group direction, group interaction, or a definite goal.

The nurse cares for the postop client diagnosed with type 2 diabetes controlled with oral antihyperglycemic agents. The client asks why the health care provider ordered subcutaneous insulin injections after surgery. The nurse's response is based on knowing which physiological process?

Being NPO inhibits normal blood glucose control. -> TEMPORARY CONTROL BY INSULIN IS NEEDED DUE TO INABILITY TO CONTROL DIABETES MELLITUS BY DIET AND ORAL AGENTS, SURGICALLY INDUCED METABOLIC CHANGES, BEING NPO BOTH BEFORE AND AFTER SURGERY, AND THE INFUSION OF IV FLUIDS.

The nurse cares for clients in a drug rehabilitation facility. Which complication of IV drug abuse is the nurse most likely to observe?

Cellulitis->MOST NARCOTIC ADDICTS DO NOT INFECT STERILE PURIFIED MATERIAL WITH ASEPTIC TECHNIQUES; CELLULITIS. COMPLICATION BECAUSE OF SKIN POPPING OR USING AN INFECTED DRUG APPARATUS.

A client is evaluated for infertility, us the health care provider prescribes clomiphene citrate 50 mg daily for 5 days. The client asks the nurse how the medication works. Which response by the nurse is best?

Clomiphene citrate induce ovulation by changing hormonal effects on the ovary. -> CLOMIPHENE CITRATE INDUCES OVULATION BY ALTERING ESTROGEN AND STIMULATING FOLLICULAR GROWTH TO PRODUCE A MATURE OVUM.

The nurse knows that cortisol is responsible for which action?

Converting proteins and fat into glucose.-> action of cortisol; is also an anti-inflammatory agent.

The nurse cares for a client admitted with a diagnosis of a stroke and facial paralysis. Nursing care should be planned to prevent which complication? 1. Inability to talk 2. Loss of gag reflex 3. Inability to open the affected eye 4. Corneal abrasion

Corneal abrasion-> CLIENT WILL BE UNABLE TO CLOSE EYE VOLUNTARILY; WHEN FACIAL NERVE (CRANIAL NERVE VII) IS AFFECTED, THE LACRIMAL GLAND WILL NO LONGER SUPPLY SECRETIONS THAT PROTECT EYE.

A 7-year-old child is seen in the clinic with a diagnosis of pituitary dwarfism. Which clinical manifestation is the nurse most likely to observe?

Delicate features-> APPEAR YOUNGER THAN CHRONOLOGICAL AGE.

The middle-aged client is admitted to an inpatient psychiatric unit. The client reports a family member is trying to steal the client's property. The client is diagnosed with paranoid disorder. The nurse suspects that the client is demonstrating which symptom?

Delusions of persecution->CLIENT HAS DELUSION OF PERSECUTION; DELUSION IS A STRONGLY HELD BELIEF THAT IS NOT VALIDATED BY REALITY; THE IDEA THAT A FAMILY MEMBER IS TRYING TO STEAL PROPERTY IS A BELIEF NOT VALIDATED BY REALITY.

The nurse prepares the adult client diagnosed with intellectual delay for discharge. The health care provider ordered warfarin sodium, 5 mg each day. To maintain client safety, which action should the nurse take first?

Determine the client's comprehension of the medication administration. -> ASSESSMENT; INTELLECTUALLY DELAYED CLIENT SHOULD BE CAREFULLY EVALUATED TO ENSURE COMPLETE COMPREHENSION OF THE DOSAGE REGIMEN TO PREVENT OVERDOSAGE AND UNDERDOSAGE.

The nurse cares for a client receiving chlorpromazine. The nurse notes the client is restless, unable to sit still, and reports insomnia and fine tremors of the hands. Which does the nurse identify as the best explanation for these symptoms occurring?

Extrapyramidal side effects resulting from this medication. -> SIDE EFFECTS INCLUDE AKATHISIA (MOTOR RESTLESSNESS), DYSTONIAS (PROTRUSION OF TONGUE, ABNORMAL POSTURING), PSEUDOPARKINSONIM (TREMORS, RIGIDITY), AND DYSKINESIA (STIFF NECK, DIFFICULTY SWALLOWING.

The health care provider orders naproxen sodium for an elderly client. The nurse should assess the client for which symptoms?

Fluid retention and dizziness. -> NSAID USED AS ANALGESIC; SIDE EFFECTS: HA, DIZZINESS, GI DISTRESS, PRURITUS, AND RASH

Which type of foods should the nurse encourage for a client diagnosed with hypoparathyroidism?

Foods high in calcium-> DIET FOR THE CLIENT SHOULD PROVIDE HIGH CALCIUM AND LOW PHOSPHORUS BECAUSE THE PARATHYROID CONTROLS CALCIUM BALANCE.

The nurse knows that according to Erikson's stages of psychosocial development, which best represents a 50-year-old client?

Generativity versus stagnation -> STAGE OF DEVELOPMENT IS APPROPRIATE FOR AGES 45 TO 64.

The health care provider order hydromorphone 15 mg IM for a client. The nurse should observe for which side effect?

Hypotension and respiratory depression.-> NARCOTIC ANALGESIC USED FOR MODERATE TO SEVERE PAIN, MONITOR VITALS FREQUENTLY.

The health care provider inserts a temporary pacemaker following a MI. The nurse knows that which outcome is the primary purpose of the pacemaker?

Increases the cardiac output. -> ACTS TO REGULATE CARDIAC RHYTHM.

The nurse cares for a client with a tracheostomy. Which is the priority nursing diagnosis for this client?

Ineffective Airway Clearance related to increased trachobronchial secretions. -> INEFFECTIVE AIRWAY CLEARANCE IS THE TOP PRORITY FOR THE CLIENTS WITH A TRACHEOSTOMY BECAUSE LOSS OF THE UPPER AIRWAYS INCREASES THE AMOUNT AND VISCOSITY OF SECRETIONS.

The nurse collects the following data: anger directed by client toward staff in the form of frequent sarcastic or crude comments, increased wringing of hands, and purpseless pacing, particularly after the client has used the telephone. Based on these data, the should make which nursing diagnosis?

Ineffective individual coping related to recent anger and anxiety. -> CLIENT IS DISPLAYING EVIDENCE OF ANGER AND ANXIETY AND AN INABILITY TO DIRECTLY DEAL WITH CONCERNS, WHICH IS INEFFECTIVE COPING.

A client with an endotracheal tube requires suctioning. Which statement is an accurate description of how the nurse should perform the procedure?

Insert the suction catheter until resistance is met, and then withdraw it slightly. Apply suction intermittently as the catheter is withdrawn. -> INSERT SUCTION CATHETER UNTIL RESISTANCE IS MET WITHOUT APPLYING SUCTION, WITHDRAW 0.4-0.8 INCHES, AND APPLY INTERMITTENT SUCTION WITH TWIRLING MOTION.

the 18-month-old is admitted to the unit with a diagnosis of larynogtracheobronchitis (LTB). During the initial assessment, the nurse expects to find which early symptoms?

Inspiratory stridor and restlessness. -> THIS CONDITION IS CHARACTERIZED BY EDEMA AND INFLAMMATION OF UPPER AIRWAYS.

Which action is the best way for the nurse to assess the fluid balance of the elderly client?

Maintain an accurate intake and output. ->BEST INDICATOR OF FLUID STATUS.

An adolescent is brought to the hospital for treatment of deep partial thickness and full thickness burns sustained in a house fire. An IV infusion is started in the client's left forearm. The nurse identifies which reason as the primary purpose for the IV?

Maintain fluid balance. -> LOSS OF FLUID OCCURS FROM OPEN BURN SURFACES; MAINTAINING CIRCULATION IS LIFE-SAVING REQUIREMENT.

The nurse cares for a 3-month old infant scheduled for a barium swallow in the morning. Prior to the procedure, it is most appropriate for the nurse to take which action?

Make the infant NPO for 3 hours

The toddler diagnosed with lead poisoning is admitted to the pediatric unit. The health care provider writes an order to encourage fluids. Which fluids is best for the nurse to offer to the toddler?

Milk-> MILK CONTAINS CALCIUM; CALCIUM BINDS TO LEAD AND INHIBITS ITS ABSORPTION.

The nurse should caution the client with hypothyroidism to avoid which implementation?

Narcotic sedative.-> CLIENT IS VERY SENSITIVE TO NARCOTICS, BARBITURATES, AND ANESTHETICS.

The nurse knows which mood-altering drug is most often associated with an increased risk for HIV infection related to IV drug use?

Narcotics-> NARCOTICS ARE MOST OFTEN USED IV.

The parent of a child with chickenpox asks the clinic nurse why the child will not come down with chickenpox again if exposed to the virus at school at a later date. which explanation does the nurse give?

Natural active immunity occurs because the child's body actively makes antibodies against the chickenpox virus. -> antigen enters the body without human assistance; body responds by actively making antibodies.

The adult client is preparing for a plasma cholesterol screening. Which instruction does the nurse give to the client? 1. Eat a vegetarian diet for 1 week before the test

Only take sips of water for 12 hours before the test. -> ONLY SIPS OF WATER ARE PERMITTED FOR 12 HOURS BEFORE PLASMA CHOLESTEROL SCREENING TO ACHIEVE ACCURATE RESULTS.

During the client's fourth stage of labor, the nurse should palpate the client's fundus in which location?

Palpable at the umbilicus

A client had a kidney transplant yesterday, and the client's adult child has come to visit. The nurse should instruct the adult child to do which action?

Perform good hand washing-> GOOD HAND WASHING IS THE MOST EFFECTIVE METHOD OF REDUCING INFECTION; VERY IMPORTANT WITH IMMUNOSUPPRESSED CLIENTS.

The postop cataract client is cautioned about not making sudden movements or bending over. The nurse identifies the rational for this recommendation is to prevent which complication?

Pressure on the ocular suture line. -> SUDDEN CHANGES IN POSITION, CONSTIPATION, VOMITING, STOOPING, OR BENDING OVER INCREASE THE INTRAOCULAR PRESSURE AND PUT PRESSURE ON THE SUTURE LINE.

A client comes to the outpatient psychiatric clinic for treatment of a fear of heights. the nurse knows that phobias involve which behaviors?

Projection and displacement-> PROJECTION (ATTRIBUTING ONE'S THOUGHTS OR IMPULSES TO ANOTHER) AND INTERNALIZATION (SITTING OF EMOTION CONCERNING PERSON OR OBJECT TO ANOTHER NEUTRAL OR LESS DANGEROUS PERSON OR OBJECTION).

The nurse performs ROM exercises for an elderly client recently immobilized. the nurse identifies which statement is correct about ROM?

ROM assists the elderly to carry out activities of ADLs-> EMPHASIS SHOULD BE ON ROMS THAT SUPPORT ADLS

The nurse cares for a child diagnosed with pediculosis capitis (Head lice) and is being treated with permethrin 1% cream rinse. The nurse should include which information when instructing the child's parents?

Repeat the application of the cream rinse in 7 days if nits still present. -> MAY BE REPEATED 7 DAYS AFTER FIRST APPLICATION.

The nurse cares for a client receiving a blood transfusion. After 30 minutes, the nurse assesses the client. Which symptom indicates an allergic reaction is occurring?

Respiratory wheezing-> ALLERGIC REACTION IS CHARACTERIZED BY WHEEZING, URTICARIA (HIVES), FACIAL FLUSHING, AND ITCHING

Which observation suggests to the nurse that the client has developed an Addisonian Crisis?

Restlessness and rapid, weak pulse. -> MAY BE SIGNS OF SHOCK RELATED TO AN ADDISONIAN CRISIS.

The home care nurse visits a new parent and a 2-week-old infant. The client asks the nurse which solid foods should be given to the child first. the nurse's response should be based on which statement?

Rice cereal is usually the first solid food and is started around 4-5 months.-> INFANTS ARE LESS LIKELY TO BE ALLERGIC TO RICE CEREAL THAN TO ANY OTHER SOLID FOOD; USUALLY STARTED BETWEEN 4-5 MONTHS OF AGE; BREASTFED INFANTS MAY BE STARTED ON SOLIDS EVEN LATER.

Which information should the nurse recognize as being the most pertinent to the diagnosis of cholecystitis?

Right upper abdominal pain. -> will experience pain in the upper-right abdominal quadrant.

If the nurse cares for a client with ataxia, which action is most important?

Supervise-ambulation-> CLIENT'S COORDINATION IS POOR, THE ONLY RELEVANT NURSING ACTION IS TO SUPERVISE AMBULATION.

The nurse supervises an LPN/LVN administering an enema to a client. The nurse determines the LPN/LVN's actions are appropriate if which action is observed?

The LPN/LVN positions the client in the left side-lying with knee flexed.-> ALLOWS SOLUTION TO FLOW DOWNWARD ALONG THE NATURAL CURVE OF THE SIGMOID COLON AND RECTUM, WHICH IMPROVES RETENTION OF SOLUTION.

The nurse cares for an older client scheduled for a colon resection this morning. The nurse notes the client had polyerthylene glycol-electrolyte solution and a soapsuds enema the previous evening. This morning the client passes a medium amount of soft brown stool. Which conclusion by the nurse is most accurate?

The bowel preparation is incomplete-> COLON SHOULD NOT HAVE REMAINING SOFT STOOL.

The nursing team consists of an RN who has been practicing for 6 months, an LPN/LVN who has been practicing for 15 years, and a nursing assistive personnel who has been caring for client for 3 years. The RN should care for which client?

The client ordered to receive 2 units of packed cells. -> REQUIRES THE ASSESSMENT AND TEACHING SKILLS OF THE RN.

The nurse cares for a client diagnosed with type 1 diabetes reporting decreased vision. The client asks the nurse what caused the visual changes. The nurse's response is based on which statement?

The client's decreased vision is caused by gradual destruction and degeneration of the retina. -> GRADUAL DESTRUCTION OCCURS BECAUSE OF DETERIORATION OF THE RETINAL VESSESLS.

The nurse administers oral verapamil to a client. Which assessment does the nurse make before the nurse make before administering the medication?

The client's heart rate.-> VERAPAMIL IS INDICATED FOR THE TREATMENT OF SUPRAVENTRICULAR TACHYCARDIA, SO THE CLIENT'S HEART RATE SHOULD BE CHECKED PRIOR TO ADMINISTRATION.

Which would be most important for the rehabilitation nurse to assess during a new client's admission?

The client's personal goals for rehabilitation-> IT IS IMPORTANT FOR THE NURSE TO UNDERSTAND WHAT THE CLIENT EXPECTS FROM THE REHABILITATION PROGRAM FOR FUTURE SUCCESS.

In preparing a teaching plan regarding colostomy irrigations, the nurse should include which information?

The colostomy needs to be irrigated at the same time every day-> COLOSTOMY IRRIGATION SHOULD BE DONE AT SAME TIME EACH DAY TO ASSIST IN ESTABLISHING A NORMAL PATTERN OF ELIMINATION.

The nurse cares for a client diagnosed with a pneumothorax resulting from a motor vehicle accident 3 days ago. The client has a chest tube connected to a 3-chamber water-seal drainage system (Pleur-evac) with 20 cm suction. The nurse determines the ling has re-expanded if which observation is made?

The fluid in the water-seal chamber does not fluctuate with respirations. -> INDICATES NO MORE AIR LEAKING INTO PLEURAL SPACE. .

The nurse prepares an older client for an Intravenous pyelogram (IVP). The client asks the nurse to explain the reason why the procedure is performed. The nurse's response should be based on which explanation?

The health care provider is able to examine the urinary tract by x-ray. -> X-RAYS OF ENTIRE URINARY TRACT TAKEN, EVALUATES KIDNEY FUNCTION.

The nurse cares for the elderly client admitted with a possible fractured Right hip. During the initial nursing assessment, which observation of the Right leg and validates this diagnosis?

The leg appears to be shortened and is adducted and externally rotated.-> ACCURATE ASSESSMENTS OF THE POSITION OF A FRACTURED HIP PRIOR TO REPAIR.

The outpatient clinic nurse cares for an elderly client diagnosed with type 1 diabetes. Because the client is unwilling to perform blood glucose monitoring, the client tests urine for sugar and acetone. The nurse knows that blood glucose monitoring is preferred over urine testing for glucose because of which reason?

The renal threshold for glucose is elevated in the elderly.-> THE LEVEL AT WHICH GLUCOSE STARTS TO APPEAR IN THE URINE INCREASES, LEADING TO FALSE-NEGATIVE READINGS; RESULTS IN ELEVATED GLUCOSE LEVELS

The nurse performs the Rinne test on a client. Which is an accurate statement of how this test should be started?

The stem of a vibrating tuning fork is held against the mastoid bone until the client indicates sound can no longer be heard. -> CLIENT SHOULD HEAR SOUND AGAIN WHEN TUNING FORK IS REMOVED FROM MASTOID BONE TO THE FRONT OF THE AUDITORY CANAL BECAUSE AIR CONDUCTION IS BETTER THAN BONE CONDUCTION.

A client develops a postop infection and receives ceftriaxone sodium IV daily. It is most important for the nurse to monitor for which changes?

The surface of the tongue.-> CEPHALSOPORIN, LONG-TERM USE OF CEFTRIAXONE SODIUM CAN CAUSE OVERGROWTH OF ORGANISMS; MONITORING OF TONGUE AND ORAL CAVITY IS RECOMMENDED.

The health care provider writes an order for a stat dose of morphine 4 mg IV for pain. 3 hours later the client again reports pain, and the nurse administers a second injection of morphine. Which best describes the nurse's liability?

There is no order for a second dose of medication, the nurse is liable-> ORDER FOR A STAT DOSE IS A FOR A ONE TIME ADMINISTRATION; NURSE PRACTICE ACT ADDRESSES SCOPE OF PRACTICE; BY ADMINISTERING A SECOND DOSE THE NURSE WAS PRESCRIBING THE MEDICATION, SOMETHING ONLY A HEALTHCARE PROVIDER WITH PRESCRIPTIVE ABILITY CAN DO; NURSE WAS PRACTICING MEDICINE, NOT NURSING AND WAS OUTSIDE OF SCOPE OF PRACTICE.

A client in labor is monitored with an internal fetal monitor. The nurse knows which is the most important reason for the fetal monitor?

To monitor the oxygen status of the fetus during labor.-> GOAL IS EARLY DETECTION OF MILD FETAL HYPOXIA.

The health care provider orders mannitol for a client with a closed head injury. Which should the nurse recognize as the desired response to this medication?

Urinary output increases to 175 mL/hour. -> MANNITOL IS AN OSMOTIC DIURETIC; INCREASES URINARY OUTPUT AND DECREASES INTRACRANIAL PRESSURE.

The nurse identifies that the primary reason elderly adults have problems with constipation is because of which process?

elderly adults engage in less exercise and have decreased muscle tone of the GI tract. -> REDUCED GI MOTILITY DUE TO DECREASED MUSCLE TONE, DECREASED EXERCISE; OTHER FACTORS INCLUDE PROLONGED USE OF LAXATIVES, IGNORING URGE TO DEFECATE, SIDE EFFECT OF MEDICATIONS, EMOTIONAL PROBLEMS, INSUFFICIENT FLUID INTAKE, AND EXCESSIVE DIETARY FAT.

A client, gravida 2 para 1, is admitted with hypertension. The client reports her wedding band is tight. The nurse should assess for which indications of mild pre-eclampsia?

facial swelling and proteinuria -> REPRESENTS 2 OF THE 3 SYMPTOMS SEEN WITH PRE-ECLAMPISA; ALSO INCLUDE HYPERTENSION.

The nurse cares for a patient client at 8 weeks gestation with a positive VDRL. When the nurse prepares the teaching plan, it is most important for the nurse to include which information?

instruct the client about the importance of taking all of the medication.-> PHYSICAL, VITALLY IMPORTANT TO COMPLETE ALL THE MEDICATION

Prior to sending a client for a cardiac catheterization, it is most important for the nurse to report which information?

the client has an allergy to shellfish.-> ALLERGIES TO IODINE AND/OR SEAFOOD MUST BE REPORTED IMMEDIATELY BEFORE CARDIAC CATH TO AVOID ANAPHYLACTIC SHOCK DURING THE PROCEDURE.