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","E","F"]

Explanation

In a situation where maltreatment is suspected, it is important for the nurse to report their concerns to the appropriate agency. The nurse should also ask the client how the fracture occurred and conduct the interview with the client privately, without the presence of their child, to gather more information and assess the situation.

A. Select the central tip of a finger. B. Wear sterile gloves. C. Keep the finger in a dependent position. D. Milk or massage the finger site.

Correct Answer is C

Explanation

Choice A Reason:

Select the central tip of a finger is incorrect. The nurse should select a puncture site on the side of the finger, slightly off-center from the central tip, as it tends to be less painful. The side of the finger has an adequate blood supply and can provide an accurate blood sample without causing excessive discomfort.

Choice B Reason:

Wearing sterile gloves is incorrect. Sterile gloves are not typically necessary for routine capillary blood glucose monitoring. However, clean hands and proper hand hygiene are essential. The nurse should perform hand hygiene before the procedure.

Choice C Reason:

Keeping the finger in a dependent position is correct. Keeping the finger in a dependent position (hanging down) can promote blood flow and make it easier to obtain a blood sample. This is a recommended technique to facilitate the puncture and collection of blood.

Choice D Reason:

Milking may hemolyze specimen and introduce excess tissue fluid.

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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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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?