A nurse in an outpatient clinic is assessing a client who is pregnant for unsafe behaviors during pregnancy. Which of the following findings indicates a need for further evaluation?

The client started working in a parking garage 3 months ago.

The client is doing 30 min of moderate exercise daily.

The client is drinking 2.5 L of water per day.

The client last visited the dentist 4 months ago

Answer and Explanation

The Correct Answer is A

Rationale:
A. The client started working in a parking garage 3 months ago: Working in a parking garage may expose the client to exhaust fumes and carbon monoxide, which are hazardous during pregnancy. This environment increases the risk of fetal hypoxia and warrants further evaluation for occupational safety and potential exposure mitigation.

B. The client is doing 30 min of moderate exercise daily: Moderate exercise during pregnancy is generally safe and encouraged to promote maternal health, improve circulation, and reduce gestational complications. This activity does not indicate unsafe behavior.

C. The client is drinking 2.5 L of water per day: Adequate hydration is recommended during pregnancy to support maternal and fetal circulation, amniotic fluid levels, and overall health. Drinking 2.5 L per day is appropriate and does not require intervention.

D. The client last visited the dentist 4 months ago: Regular dental care is encouraged, but a visit every 4–6 months is generally considered safe and routine. This finding does not indicate unsafe behavior requiring urgent evaluation.

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Free Nursing Study Resources

Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"}}

Explanation

Rationale:

• Edema: Swelling occurs in sprains, fractures, and dislocations due to tissue injury, inflammation, and bleeding into the surrounding area. It is a non-specific sign of trauma but indicates soft tissue or bony involvement.

• Sensation (tingling): Altered sensation is more commonly associated with fractures and dislocations because of nerve compression or injury near the affected bone or joint. Sprains typically do not involve neurological changes unless severe.

• Ecchymosis: Bruising occurs in sprains, fractures, and dislocations due to vascular injury from trauma. It helps localize the injury but cannot differentiate between soft tissue and bone involvement.

• Pain level (4/10): Pain is present in all three conditions. The intensity may vary depending on the severity of injury, but mild to moderate pain is expected in sprains, fractures, and dislocations.

A. Elevate the affected forearm with pillows. B. Administer Ibuprofen 200 mg PO. C. Place a non adherent dressing on the right knee abrasion. D. Review cast care instructions with the child's parents. E. Explain the cast application procedure to the child. F. Apply ice packs to the fingers and along the right forearm.

Correct Answer is ["A","B","F"]

Explanation

Rationale:
A. Elevate the affected forearm with pillows: Elevation helps reduce swelling and promotes venous return, which is critical in the immediate management of a fracture to prevent complications such as increased edema or impaired circulation.

B. Administer Ibuprofen 200 mg PO: The child reports pain at a level of 5, meeting the prescription threshold. Administering analgesia promptly helps manage discomfort and supports cooperation with further interventions, such as casting.

C. Place a nonadherent dressing on the right knee abrasion: While wound care is important, the abrasion is minor and not the most urgent concern. Prioritization focuses on the fractured limb and pain management.

D. Review cast care instructions with the child's parents: Education is important but is not the immediate priority before the cast is applied. It can be provided after the child is stabilized and pain is managed.

E. Explain the cast application procedure to the child: While preparing the child psychologically is important, immediate interventions to reduce pain and swelling take precedence over anticipatory teaching.

F. Apply ice packs to the fingers and along the right forearm: Ice helps reduce swelling and pain in the acute phase of the fracture. Applying ice in combination with elevation supports circulation and comfort while awaiting casting.

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A nurse in an outpatient clinic is assessing a client who is pregnant for unsafe behaviors during pregnancy. Which of the following findings indicates a need for further evaluation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,B,C"},"D":{"answers":"A,B,C"}}

Explanation

The nurse is continuing to care for the child. Exhibits Select the 3 priority actions that the nurse should take.

Correct Answer is ["A","B","F"]

Explanation

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