A nurse is caring for a client at the clinic.

Complete the following sentence by using the lists of options.

The client is at risk for
_
as evidenced by
_
.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Rationale for correct choices

• Spontaneous abortion: The client is at 10 weeks gestation with vaginal bleeding, abdominal cramping, and an open cervix, which are classic findings associated with spontaneous abortion. The presence of cervical dilation indicates that pregnancy loss is actively occurring or imminent. These findings distinguish spontaneous abortion from other early pregnancy complications.

• Cervical dilation: Cervical dilation during early pregnancy is a key indicator of pregnancy loss. In spontaneous abortion, the cervix opens as products of conception begin to pass. This finding provides objective evidence that the pregnancy is not being maintained.

Rationale for incorrect choices

• Molar pregnancy: Molar pregnancy is associated with excessively high hCG levels, uterine enlargement greater than gestational age, and symptoms such as severe nausea or hyperemesis. The client’s hCG level is appropriate for gestational age and does not suggest trophoblastic overgrowth. Cervical dilation is not a defining feature of molar pregnancy.

• Ectopic pregnancy: Ectopic pregnancy typically presents with unilateral pelvic pain, possible shoulder pain, and often no cervical dilation. Vaginal bleeding may occur, but the cervix usually remains closed. Additionally, ectopic pregnancies often have lower-than-expected hCG levels.

• Lower abdominal cramping: Abdominal cramping is a common symptom in many early pregnancy complications and is not specific to spontaneous abortion. While it supports uterine activity, it does not independently confirm pregnancy loss. Cervical dilation provides stronger diagnostic evidence. Cramping alone is insufficient as the primary indicator.

• hCG levels: The client’s hCG level is within the expected range for 10 weeks gestation. Abnormally high levels would suggest molar pregnancy, while low or slowly rising levels might suggest ectopic pregnancy or nonviable gestation. In this case, hCG does not explain the acute findings.

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Correct Answer is C

Explanation

A. Fasting blood glucose 124 mg/dL (70 to 110 mg/dL): Mildly elevated fasting glucose indicates impaired fasting glucose or prediabetes but is not an absolute contraindication for clozapine. Monitoring glucose is important due to the risk of metabolic syndrome, but it does not preclude administration.

B. Heart rate 58/min: Mild bradycardia is not a contraindication for clozapine. Clozapine can cause tachycardia, hypotension, or orthostatic changes, so monitoring is necessary, but a heart rate of 58/min alone does not prohibit use.

C. Absolute neutrophil count 1,300/mm³ (2,500 to 8,000/mm³): Clozapine carries a risk of severe neutropenia and agranulocytosis. An ANC below 1,500/mm³ is a contraindication to starting or continuing clozapine because it significantly increases the risk of life-threatening infection.

D. Hgb 12.5 g/dL (14 to 18 g/dL): Mild anemia is not a contraindication for clozapine. Hemoglobin should be monitored, but this level does not directly increase the risk of clozapine-related adverse effects.

A. Eat a light snack before bedtime. B. Take a 1-hr nap during the day. C. Stay in bed at least 1 hr if unable to fall asleep. D. Perform exercises prior to bedtime.

Correct Answer is A

Explanation

A. Eat a light snack before bedtime: Consuming a small, easily digestible snack, such as a piece of fruit or a glass of milk, can help prevent hunger-related awakenings and promote relaxation, supporting better sleep in older adults.

B. Take a 1-hr nap during the day: Long daytime naps can disrupt the sleep-wake cycle and contribute to difficulty falling asleep at night. Short naps (20–30 minutes) earlier in the day are preferable for older adults.

C. Stay in bed at least 1 hr if unable to fall asleep: Remaining in bed when unable to sleep can reinforce negative associations between the bed and wakefulness, potentially worsening insomnia. Clients should get out of bed and engage in a quiet activity until sleepy.

D. Perform exercises prior to bedtime: Vigorous exercise close to bedtime can increase arousal, heart rate, and body temperature, making it harder to fall asleep. Exercise is best scheduled earlier in the day to promote nighttime sleep.

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A nurse is caring for a client at the clinic. Complete the following sentence by using the lists of options. The client is at risk for _____ as evidenced by _____ .

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

Explanation

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A nurse is caring for a client at the clinic.

Complete the following sentence by using the lists of options.

The client is at risk for
_
as evidenced by
_
.