A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?

Protruding hemorrhoids

3+deep-tendon reflexes

Supine hypotension

Urinary frequency

Answer and Explanation

The Correct Answer is B

A. Protruding hemorrhoids: Hemorrhoids are common in late pregnancy due to increased venous pressure and straining, and while uncomfortable, they are not an urgent concern requiring immediate provider notification.

B. 3+ deep-tendon reflexes: Hyperactive reflexes (3+) can indicate potential preeclampsia, which is a serious condition characterized by hypertension and risk of seizures. This finding requires prompt reporting and further evaluation to prevent complications for both the mother and fetus.

C. Supine hypotension: Supine hypotensive syndrome can occur when a pregnant client lies on her back, causing compression of the inferior vena cava. It is typically relieved by repositioning to the left lateral side and is not immediately dangerous if addressed promptly.

D. Urinary frequency: Increased urinary frequency is common in late pregnancy due to fetal pressure on the bladder. While it may cause discomfort, it is an expected finding and does not require urgent reporting to the provider.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is B

Explanation

A. "I will report equipment with three-prong electric plugs as a fire hazard.": Three-prong plugs are designed for safety, providing grounding to prevent electrical fires. Reporting them as hazards indicates a misunderstanding of proper electrical safety.

B. "If I see a fire, I should try to remove the client from the room first.": Ensuring client safety is the top priority during a fire. Removing clients from immediate danger follows the first step of the RACE protocol (Rescue, Alarm, Contain, Extinguish), demonstrating correct understanding of fire response.

C. "I should place equipment in front of the emergency exit to prop it open.": Blocking emergency exits is a serious fire safety violation. Exits must remain clear at all times to allow rapid evacuation.

D. "I should sweep the fire extinguisher from side to side before squeezing the handle.": The correct sequence is to pull the pin, aim at the base of the fire, squeeze the handle, and then sweep side to side. Sweeping before squeezing would render the extinguisher ineffective.

A. Keep all four of the side rails raised on the client's bed. B. Check the client every 4 hr to evaluate their need to use the restroom. C. Instruct the client to stand in place when beginning ambulation. D. Maintain the client's bed at the nurse's waist level.

Correct Answer is C

Explanation

A. Keep all four of the side rails raised on the client's bed: Raising all four side rails can increase the risk of injury if the client attempts to climb over them. Full side rails are not a recommended fall-prevention strategy for clients with orthostatic hypotension.

B. Check the client every 4 hr to evaluate their need to use the restroom: Checking every 4 hours may not be frequent enough to prevent falls related to sudden episodes of dizziness or urgency. More proactive measures, such as assisting with ambulation, are safer for clients at risk.

C. Instruct the client to stand in place when beginning ambulation: Having the client stand in place for a few moments allows blood pressure to stabilize before walking, reducing the risk of dizziness and falls caused by orthostatic hypotension. This is a key intervention for fall prevention in at-risk clients.

D. Maintain the client's bed at the nurse's waist level: The bed height should be adjusted to facilitate safe transfers, typically at the level that allows feet to touch the floor and promotes stability. Keeping the bed at the nurse's waist level does not specifically prevent falls due to orthostatic hypotension.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is assessing a client who is at 36 weeks of gestation. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing fire safety training to a newly licensed nurse. Which of the following statements indicates an understanding of the teaching?

Correct Answer is B

Explanation

A nurse is caring for a client who is at risk for a fall because of orthostatic hypotension. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

A nurse is caring for a client who has recently undergone a bilateral mastectomy. The client states they do not want to live anymore. Which of the following actions should the nurse take?

The nurse is caring for a client. Which of the following 4 orders or prescriptions should the nurse anticipate? Select the 4 orders or prescriptions that the nurse should anticipate.

A nurse is caring for a client in the medical-surgical unit. Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.

A nurse is caring for a client who has experienced a stroke and is moving in with their adult child. Which of the following actions should the nurse encourage the client and family to take as they adjust to their new roles?

A nurse is reviewing a community health report card. Which of the following findings should the nurse expect to find in the report card?

A nurse is teaching a client who is at 41 weeks of gestation about a nonstress test. Which of the following information should the nurse include in the teaching?