A nurse is caring for a 32-year-old female client who is at 28 weeks of gestation,
The Correct Answer is []
Condition: The client is most likely expeíiencing Placenta píevia. This condition is chaíacteíized by painless, bíight íed vaginal bleeding duíing the thiíd tíimesteí, which matches the client’s symptoms.
Actions:
1. Instíuct the client to maintain bed íest: This can help to píevent fuítheí bleeding.
2. Píepaíe the client foí a possible ultíasound: An ultíasound can help to confiím the diagnosis and assess the placental location and fetal well-being.
Paíameteís to Monitoí:
1. Ïetal heaít íate: Monitoíing the fetal heaít íate can help to assess the baby’s well-being.
2. Hemoglobin and hematocíit levels: These should be monitoíed to assess the client’s blood loss and íisk of anemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale: Ensuring the call button is within the client's reach is important for general patient safety and communication, but it is not the highest priority for seizure precautions.
Choice B rationale: Placing suction equipment at the client's bedside is crucial for managing airway secretions during a seizure. Having suction equipment readily available ensures that the client's airway can be cleared promptly, which is vital for maintaining breathing and preventing aspiration.
Choice C rationale: Dimming the lights in the client's room can help reduce stimuli that may trigger seizures, but it is not the most urgent action to take when implementing seizure precautions.
Choice D rationale: Padding the side rails of the client's bed is important to prevent injury during a seizure, but ensuring that suction equipment is available takes priority to maintain airway patency and prevent complications.
Correct Answer is B
Explanation
Choice A rationale
Asking why the adolescent is requesting birth control may come across as judgmental and could discourage open communication.
Choice B rationale
Understanding what the adolescent knows about contraception can help guide the discussion and ensure that she is making an informed decision.
Choice C rationale
Whether or not the partner loves the adolescent is not directly relevant to the decision to use birth control. The focus should be on the adolescent’s reproductive health and autonomy.
Choice D rationale
While it’s important to discuss coercion in sexual relationships, this question could be seen as intrusive or presumptive. It’s more appropriate to provide information about healthy relationships and consent.
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