A nurse is caring for a client who is at 34 weeks of gestation. Which of the following statements by the client is the nurse’s priority to report to the provider?

"My heart feels like it skips a beat."

"I have nosebleeds once per week."

"The palms of my hands are red and blotchy."

"I’m experiencing persistent headaches."

Answer and Explanation

The Correct Answer is A

Choice A reason: Palpitations at 34 weeks may signal arrhythmia or preeclampsia-related cardiac strain. This urgent symptom in pregnancy requires immediate provider evaluation.

Choice B reason: Weekly nosebleeds are common in pregnancy from vascular changes, less critical. Without severity, they’re not the priority over cardiac concerns.

Choice C reason: Red, blotchy palms (palmar erythema) are normal in pregnancy from estrogen. It’s benign, not urgent compared to potential heart issues.

Choice D reason: Persistent headaches suggest preeclampsia, but palpitations pose a more immediate cardiac risk. At 34 weeks, this takes reporting precedence.

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Correct Answer is D

Explanation

Choice A reason: Swallowing isn’t an option for chewable isosorbide; it’s designed for sublingual absorption. This advice is incorrect and won’t address vasodilatory headache effects.

Choice B reason: Discontinuing isosorbide risks angina exacerbation in cardiac patients. Headaches are tolerable side effects, so stopping isn’t advised without provider input.

Choice C reason: Empty stomach intake doesn’t reduce isosorbide’s vasodilatory headaches. Timing doesn’t alter its nitrate-induced vessel dilation, making this ineffective advice.

Choice D reason: Headaches from isosorbide’s vasodilation typically subside with tolerance over time. This reassures the client, aligning with expected nitrate therapy adaptation.

A. Social worker B. Advanced practice nurse C. Patient care technician D. Psychologist

Correct Answer is B

Explanation

Choice A reason: Social workers address psychosocial needs, not drug interactions. Medication queries require clinical expertise beyond their scope in this context.

Choice B reason: Advanced practice nurses have prescribing and pharmacology knowledge, ideal for assessing interactions. They’re the best referral for this clinical question.

Choice C reason: Patient care technicians assist with basic care, lacking drug interaction training. They can’t evaluate complex medication profiles adequately here.

Choice D reason: Psychologists focus on mental health, not pharmacokinetics. They lack the medical expertise to address physical drug interaction concerns effectively.

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A nurse is caring for a client who is at 34 weeks of gestation. Which of the following statements by the client is the nurse’s priority to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who is taking multiple medications and asks about possible interactions. To which of the following members of the interdisciplinary team should the nurse make a referral?

Correct Answer is B

Explanation

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