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Chapter 21: Problem 8
The nurse is checking the client for a positive Trousseau's sign. Which finding indicates a positive Trousseau's sign? A. Facial grimacing B. Carpopedal spasms C. Nuchal rigidity D. Abdominal tenderness
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The client is receiving Pitocin (oxytocin) for augmentation of labor. Which finding would necessitate the need to discontinue the oxytocin? ? A. The client鈥檚 contractions are every three minutes, lasting 60 seconds. ? B. The client complains of a desire to push with contractions. ? C. The client鈥檚 fetal heart tones are 110 beats per minute prior to contractions and 80 beats per minute at the end of the contraction for the last twenty minutes. ? D. The client complains of nausea and vomiting with contractions.
The client with hyperthyroidism has a prescription for lithium carbonate (Lithobid). The client should be taught to take the medication: A. Two times per day B. With milk or meals C. With an antiemetic D. For the treatment of psychosis
The client with diabetes presents to the emergency department with pupils dilated. Which action by the nurse indicates understanding of the client's presenting symptom? A. The nurse checks the client's Hgb A1C. B. The nurse begins an IV of normal saline. C. The nurse applies oxygen via mask at 3 liter/minute. D. The nurse gives the client \(240 \mathrm{ml}\) of apple juice.
The client is experiencing dawn phenomena associated with diabetes mellitus. Which action by the nurse indicates knowledge of dawn phenomena? A. The nurse offers peanut butter and crackers as a snack prior to bedtime. B. The nurse wakes the client during the night to check her blood glucose level. C. The nurse administers \(\mathrm{NPH}\) insulin subcutaneously as ordered. D. The nurse explains the need for frequent cortisole levels to be checked.
The client who is 20 weeks gestation asks the nurse how much weight she should gain during her pregnancy. The nurse should tell the client that: A. She should try not to gain more than 25 pounds during pregnancy. B. She should gain about 36 pounds during pregnancy. C. The client should gain 55 pounds during pregnancy. D. The client should not gain more than 15 pounds.
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