A nurse is assessing a client who has sickle cell anemia. Which of the following findings is the priority for the nurse to report?

Slurred speech

Yellowed sclera

Ulcers on the ankles

Swelling in the joints

Answer and Explanation

The Correct Answer is A

Choice A rationale:

Slurred speech could indicate a potential neurological complication in a client with sickle cell anemia, such as a stroke. Neurological symptoms require immediate attention and reporting to the healthcare provider.

Choice B rationale:

Yellowed sclera (jaundice) can be related to sickle cell anemia but is less acutely concerning than slurred speech.

Choice C rationale:

Ulcers on the ankles are often associated with sickle cell anemia, but they are not as urgent as neurological symptoms.

Choice D rationale:

Swelling in the joints is a potential manifestation of sickle cell anemia, but slurred speech indicates a more acute and concerning issue.

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Correct Answer is {"xRanges":[299.765625,329.765625],"yRanges":[366.609375,396.609375]}

Explanation

Choice A rationale: This is incorrect because at about one hour after child birth the fundus should be around the belly button (where it was at 20 weeks of gestation).

Choice B rationale: This is incorrect because at about one hour after child birth the fundus should be around the belly button (where it was at 20 weeks of gestation). It then decreases steadily at approximately 1 cm every 24 hours.

Choice C rationale: One-week post-partum, the fundal height should be about 7 cm below the umbilicus (belly button). This means that the uterus is still larger than normal, but it is contracting and healing. The fundal height may vary depending on factors such as the size and position of the baby, the amount of amniotic fluid, and the mother's body type.

Correct Answer is ["0816"]

Explanation

To calculate the estimated date of delivery using Nägele's rule, follow these steps:

-Add 7 days to the first day of the last menstrual period. In this case, November 9 + 7 days = November 16.

- Subtract 3 months from the month of the last menstrual period. In this case, November - 3 months = August.

The estimated date of delivery is August 16

The rationale for this rule assumes that the average menstrual cycle is 28 days long and that ovulation occurs on day 14 of the cycle. Therefore, adding 7 days to the first day of the last menstrual period approximates the date of conception. Subtracting 3 months from the month of the last menstrual period adjusts for the difference between the lunar calendar (13 months) and the Gregorian calendar (12 months).

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A nurse is assessing a client who has sickle cell anemia. Which of the following findings is the priority for the nurse to report?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is 1 week postpartum. Which of the following locations should the nurse palpate to assess the client's fundus? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is {"xRanges":[299.765625,329.765625],"yRanges":[366.609375,396.609375]}

Explanation

A nurse at a clinic is counseling a client who has a positive pregnancy test. The first day of the client's last menstrual period was November 9. Use Nägele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation.)

Correct Answer is ["0816"]

Explanation

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