A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy.

Which of the following findings should the nurse report to the provider?

Shortness of breath when climbing stairs

Leukorrhea

Periodic numbness of the fingers

Blurred vision

Answer and Explanation

The Correct Answer is D

Blurred vision in the third trimester of pregnancy can be a potential sign of preeclampsia, a serious condition characterized by high blood pressure and organ damage.

Shortness of breath when climbing stairs is a common symptom in the third trimester as the growing uterus puts pressure on the diaphragm and limits lung expansion. While it is important to monitor the client's respiratory status, it is not an immediate cause for concern unless accompanied by severe or persistent shortness of breath.

Leukorrhea refers to an increase in vaginal discharge during pregnancy, which is a normal physiological change. It is typically white or clear and does not indicate any immediate problems unless it is accompanied by other symptoms such as itching, foul odor, or irritation.

Numbness or tingling in the fingers during pregnancy can be caused by pressure on nerves due to fluid retention or changes in the body's circulation. While it can be uncomfortable, it is not typically considered an urgent issue unless it is severe, persistent, or accompanied by other concerning symptoms.

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Correct Answer is C

Explanation

Choice A Reason:

An occupational therapist focuses on helping clients develop or regain skills needed for daily living and working, but transportation coordination is typically not within their primary scope.

Choice B Reason:

Physical therapist is incorrect. While physical therapists play a crucial role in rehabilitation and mobility, their primary focus is on improving physical function, strength, and mobility. They do not typically assess or address driving-related concerns.

Choice C Reason:

A social worker can assist the client in arranging transportation to follow-up appointments. They can connect the client with community resources, transportation services, or support systems that can help with these needs.

Choice D Reason:

Primary care provider is incorrect. While a primary care provider can discuss general health concerns, they may not have the expertise or resources to assess and address specific driving-related issues or provide driving rehabilitation.

A. "Fidelity involves ensuring that we do no harm to the client." B. "Fidelity involves keeping promises made to clients." C. "Fidelity involves making sure clients are able to make their own health care decisions." D. "Fidelity involves treating every client with the same level of respect."

Correct Answer is B

Explanation

Choice A Reason:

"Fidelity involves ensuring that we do no harm to the client.” This statement is more closely related to the ethical principle of nonmaleficence, which means "do no harm." Nonmaleficence focuses on avoiding harm and preventing any potential harm to the client.

Choice B Reason:

"Fidelity involves keeping promises made to clients." Fidelity is an ethical principle related to faithfulness, honesty, and keeping promises made to clients. It involves maintaining trust and being loyal to the client's best interests. This principle emphasizes the importance of nurses and healthcare providers honoring their commitments and obligations to clients, which helps build and maintain trust in the nurse-client relationship.

Choice C Reason:

"Fidelity involves making sure clients are able to make their own health care decisions. “This statement is more aligned with the ethical principle of autonomy, which emphasizes a person's right to make their own decisions about their healthcare. Autonomy relates to respecting a client's right to self-determination and informed consent.

Choice D Reason:

"Fidelity involves treating every client with the same level of respect." This statement is associated with the ethical principle of justice, which involves treating individuals fairly and equally and ensuring that they receive equitable care. It is about fairness and equality rather than the specific concept of keeping promises.

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A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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A nurse at a provider's office is caring for a client who is in the third trimester of pregnancy.

Which of the following findings should the nurse report to the provider?