A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Contractions lasting 80 seconds

Early decelerations in the FHR

FHR baseline 170/min

Temperature 37.4° C (99.3° F)

Answer and Explanation

The Correct Answer is C

A.   Contractions lasting 80 seconds, while prolonged, may occur in active labor and do not necessarily indicate a complication requiring immediate provider notification.
B.   Early decelerations in the fetal heart rate are typically benign and are not typically concerning unless they are persistent or associated with other signs of fetal distress.
C.   An FHR baseline of 170/min is above the normal range and may indicate fetal distress or other complications requiring further evaluation and possible intervention, necessitating prompt provider notification.
D.   A temperature of 37.4°C (99.3°F) is within the normal range and does not typically require immediate provider notification unless accompanied by other concerning symptoms.

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Correct Answer is A

Explanation

A. Raised facial rash, often in a "butterfly" distribution across the cheeks and bridge of the nose, is a characteristic manifestation of systemic lupus erythematosus.
B. Hemangiomas are not typically associated with systemic lupus erythematosus.

C. Kaposi's sarcoma lesions are associated with immunosuppression, such as in HIV infection, and are not a typical finding in systemic lupus erythematosus.
D. Psoriasis is a separate autoimmune condition characterized by red, scaly patches on the skin and is not typically associated with systemic lupus erythematosus.

A. Splitting behavior B. Emotional lability C. Unexpressive affect D. Self-centered behavior

Correct Answer is D

Explanation

A. Splitting behavior, where the client views people and situations as either all good or all bad, is more characteristic of borderline personality disorder rather than histrionic personality disorder.
B. Emotional lability, characterized by rapid shifts in mood, is not a primary feature of histrionic personality disorder.
C. Unexpressive affect, or a lack of emotional expression, is not a typical feature of histrionic personality disorder, which often presents with exaggerated and dramatic emotional displays.
D. Self-centered behavior, including attention-seeking and dramatic behavior to gain approval or admiration from others, is a hallmark feature of histrionic personality disorder.

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A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has systemic lupus erythematosus. Which of the following client findings should the nurse expect?

Correct Answer is A

Explanation

A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

Exhibits Click to specify which of the following actions the nurse should anticipate including in the client's plan of care. Select all that apply.

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