A nurse is educating a client who has just tested positive for pregnancy.
The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.
Which of the following symptoms should the nurse advise the client to report to the clinic?
Facial edema
Leukorrhea
Nausea and vomiting
Urinary frequency
The Correct Answer is A
Choice A rationale
Facial edema, or swelling in the face, can be a sign of a serious complication during pregnancy, such as preeclampsia. Preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, often the liver and kidneys.
Choice B rationale
Leukorrhea, or a thick, milky discharge from the vagina, is a common and normal symptom of pregnancy. It is not typically a sign of a complication.
Choice C rationale
Nausea and vomiting are common symptoms during the first trimester of pregnancy. However, severe or persistent nausea and vomiting can indicate a condition called hyperemesis gravidarum, which requires medical attention.
Choice D rationale
Urinary frequency is a common symptom during pregnancy and is not typically a sign of a complication.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While an elevated WBC count can indicate an infection, it is not the most important symptom to monitor in a patient with idiopathic thrombocytopenic purpura (ITP). ITP is primarily a platelet disorder, and while infection can trigger or exacerbate the condition, an elevated WBC count is not a direct symptom of ITP78.
Choice B rationale
Fever can be a sign of infection, which can trigger or exacerbate ITP. However, it is not the most important symptom to monitor in a patient with ITP78.
Choice C rationale
Ecchymosis, or bruising, is a key symptom of ITP. Because ITP involves a decrease in platelets, which are necessary for clotting, patients with this condition are prone to bruising and bleeding. Therefore, monitoring for ecchymosis is crucial.
Choice D rationale
Fatigue can be a symptom of ITP, but it is not the most important symptom to monitor. While fatigue can impact a patient’s quality of life, it does not directly indicate the severity of the condition.
Correct Answer is C
Explanation
Choice A rationale
The statement about shock waves refers to a different procedure called extracorporeal shock wave lithotripsy, which is used to break up kidney stones and gallstones. It is not related to an oral cholangiogram.
Choice B rationale
An oral cholangiogram does not involve inserting a camera down the throat. This statement seems to refer to an endoscopic procedure, which is different from an oral cholangiogram.
Choice C rationale
This statement is correct. An oral cholangiogram is an X-ray examination of the gallbladder and bile ducts. The patient takes an oral medication that makes these structures more visible on the X-ray.
Choice D rationale
This statement is incorrect. An oral cholangiogram does not involve putting medication into the gallbladder to dissolve stones. This seems to refer to a different treatment approach.
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