The home health nurse is assessing a 17-year-old pregnant client at 34 weeks of gestation who has been diagnosed with preeclampsia. Upon assessment, the nurse finds that the client has gained 2 pounds in the past week and her blood pressure is 144/92 mmHg. Which assessment finding would require further action by the nurse?
Visual disturbances
Frequent voiding in large amounts
1+ pedal edema
One headache in the past week
The Correct Answer is A
Visual disturbances would require further action by the nurse as they can be a sign of worsening preeclampsia and a potential indication for immediate medical attention. The client's recent weight gain and elevated blood pressure are also concerning findings, but visual disturbances are a more urgent symptom. Frequent voiding in large amounts and 1+ pedal edema are common in pregnancy, while one headache in the past week may or may not be significant depending on the context.
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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
Environmental health is concerned with the impact of environmental factors on human health, including physical, chemical, biological, and social factors. By improving environmental health in a community, we can decrease exposure to environmental hazards and reduce the incidence of environmentally related diseases, resulting in improved health outcomes.
One of the most important outcomes of environmental health interventions is increased life expectancy for the community. By reducing exposure to environmental hazards, such as air pollution, water pollution, and toxic chemicals, we can decrease the incidence of environmentally related diseases, such as respiratory disease, cancer, and neurological disorders. This, in turn, can increase life expectancy and improve the overall health of the community.
Correct Answer is D
Explanation
Kangaroo care is skin-to-skin contact between a newborn and parent(s) that helps regulate the infant's temperature, respiratory and heart rates, and enhances parent-infant bonding.
It is recommended for all infants, regardless of their gestational age or health status, and has been found to improve outcomes for premature and low-birth-weight infants. Kangaroo care is not specifically designed to address motor and CNS impairments, nor is it adopted from classical British nursing traditions. While it may help prepare infants for breastfeeding, this is not the primary goal of the intervention.
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