A nurse is providing teaching to a client who is at 6 weeks of gestation about manifestations of potential complications during pregnancy. For which of the following manifestations should the nurse instruct the client to notify the provider?
Swelling of gums
Burning during urination
White vaginal discharge
Occasional nosebleeds
The Correct Answer is B
Rationale:
A. Swelling of gums (gingivitis) is common in pregnancy due to hormonal changes and increased blood flow; it is not a danger sign.
B. Burning during urination indicates a urinary tract infection (UTI). Untreated UTIs increase the risk of pyelonephritis and preterm labor, so prompt medical evaluation and antibiotics are necessary.
C. White vaginal discharge (leukorrhea) is a normal physiological response to hormonal changes that maintain vaginal acidity; it does not require medical attention unless accompanied by odor, itching, or color changes.
D. Occasional nosebleeds are common in pregnancy due to increased vascularity and nasal mucosal congestion caused by elevated estrogen levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Having a UAP stay daily is not realistic or necessary for all elderly clients. Home assistance is typically scheduled for specific needs, not for constant presence.
B. Weekly contact with family offers emotional support but does not ensure safety in case of a fall or emergency.
C. A personal emergency response system (PERS) enables the client to quickly summon help after a fall or medical emergency. This promotes safety and independence while addressing the client’s anxiety about living alone.
D. Moving to a skilled nursing facility is not indicated solely due to fear of falling. Interventions should first focus on maintaining safety and independence in the client’s current home.
Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"B,C"},"D":{"answers":"A,B,C"}}
Explanation
Pain level: 4/10 is consistent with sprain, fracture. Both injuries can produce moderate pain; dislocations often cause more severe pain initially.
Ecchymosis (bruising): Present on the forearm is consistent with fracture and sprain. Dislocations may have minimal bruising especially around the dislocated joint.
Sensation (mild tingling, fingers slightly cool): Consistent with fracture and dislocations. Nerve or vascular compromise can occur with fractures; less common with a simple sprain where the neurovascular status is intact. Dislocations may compress nerves causing paresthesia.
Edema (swelling of forearm and fingers): Consistent with fracture, sprain, and dislocation. Swelling occurs due to tissue injury; dislocations can also swell but typically localized around the joint.
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