A nurse is caring for a client who is at 32 weeks gestation and has a history of hypertension. Which of the following statements by the client should the nurse report to the provider?
"My ankles get swollen after standing at work."
"My gums bleed when I brush my teeth."
"I have constant pain in the middle of my upper abdomen."
"I feel dizzy when I lay flat on my back.
The Correct Answer is C
Choice A rationale:
Ankle swelling can be a common symptom of pregnancy and is not necessarily indicative of a complication.
Choice B rationale:
Gums can become more sensitive during pregnancy, leading to bleeding while brushing teeth. This finding is common and not necessarily indicative of a complication.
Choice C rationale:
Constant pain in the middle of the upper abdomen can be a sign of preeclampsia, a serious pregnancy complication that requires prompt medical attention.
Choice D rationale:
Feeling dizzy when lying flat on the back (supine hypotension) can be a common discomfort during pregnancy due to pressure on the vena cava. However, it does not necessarily indicate a complication in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Urine in acute glomerulonephritis often appears tea-colored or smoky due to hematuria.
Choice B rationale:
Hypertension is common in acute glomerulonephritis.
Choice C rationale:
Fluid retention and subsequent weight gain are common due to decreased kidney function.
Choice D rationale:
Hyponatremia is not typically associated with acute glomerulonephritis.
Correct Answer is A
Explanation
Choice A rationale:
Melanoma often originates from an existing mole or can develop as a new pigmented lesion on the skin.
Choice B rationale:
Melanoma lesions are typically asymmetrical, not symmetrical.
Choice C rationale:
Metastasis of melanoma is not rare and can occur if the disease is not diagnosed and treated early.
Choice D rationale:
Melanoma has multiple growth phases, including radial and vertical growth.
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