A nurse is collecting data from a client who has placenta previa. Which of the following findings should the nurse expect?
Increased fetal movement
Persistent uterine contractions
Rigid abdomen
Bright red vaginal bleeding
The Correct Answer is D
Bright red vaginal bleeding
Placenta previa is a condition in which the placenta partially or completely covers the opening of the cervix. One of the hallmark findings of placenta previa is painless, bright red vaginal bleeding, typically occurring in the later stages of pregnancy. This bleeding can be sudden and heavy or intermittent. It is important for the nurse to recognize this sign and promptly report it to the healthcare provider.
Increased fetal movement in (option A) is incorrect: Fetal movement is not directly related to placenta previa and may vary depending on the individual fetus.
Persistent uterine contractions in (option B): Persistent uterine contractions are more commonly associated with conditions such as preterm labour or uterine irritability, rather than placenta previa.
Rigid abdomen in (option C): A rigid abdomen may indicate uterine hypertonus or other complications, but it is not a specific finding of placenta previa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Furosemide works by promoting diuresis, which helps to reduce fluid volume overload in heart failure. Increased urinary output indicates that the medication is effectively removing excess fluid from the body. This can help alleviate symptoms such as edema and fluid retention commonly associated with heart failure. Therefore, an increased urinary output is a positive response to furosemide therapy in this context.
Decreased BUN (blood urea nitrogen) levels and weight loss are also expected outcomes of diuretic therapy, further indicating the effectiveness of the medication. However, a decreased hemoglobin level is not directly related to the efficacy of furosemide and might be indicative of other factors such as anemia or bleeding, requiring further assessment and intervention.
Correct Answer is B
Explanation
Veracity refers to the principle of truthfulness and honesty in communication. By truthfully communicating about the adverse effects of the prescribed medications, the nurse is demonstrating veracity. This ethical principle emphasizes the importance of providing accurate information to the client to promote informed decision-making and autonomy.
Justice refers to fairness and equitable treatment, ensuring that individuals receive what they are due and that resources are distributed appropriately. While justice is an important ethical concept in healthcare, it is not directly applicable to the nurse's communication about adverse effects.
Autonomy refers to respecting the right of individuals to make their own decisions and choices regarding their healthcare. While truthfully communicating about adverse effects supports autonomy, autonomy itself is not the specific ethical concept being exhibited in this scenario. Beneficence refers to the ethical principle of acting in the best interest of the client and promoting their well-being. While providing accurate information about adverse effects can be seen as a form of beneficence, it does not directly address the nurse's truthful communication in this specific scenario.
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