A nurse is caring for a client who is at 32 weeks gestation and has a history of hypertension. Which of the following statements by the client should the nurse report to the provider?
"My ankles get swollen after standing at work."
"My gums bleed when I brush my teeth."
"I have constant pain in the middle of my upper abdomen."
"I feel dizzy when I lay flat on my back.
The Correct Answer is C
Choice A rationale:
Ankle swelling can be a common symptom of pregnancy and is not necessarily indicative of a complication.
Choice B rationale:
Gums can become more sensitive during pregnancy, leading to bleeding while brushing teeth. This finding is common and not necessarily indicative of a complication.
Choice C rationale:
Constant pain in the middle of the upper abdomen can be a sign of preeclampsia, a serious pregnancy complication that requires prompt medical attention.
Choice D rationale:
Feeling dizzy when lying flat on the back (supine hypotension) can be a common discomfort during pregnancy due to pressure on the vena cava. However, it does not necessarily indicate a complication in this context.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Comfrey is not commonly recommended as an herbal supplement for menopausal symptoms. It has been associated with potential liver toxicity.
Choice B rationale:
Ginkgo biloba is often used to improve cognitive function and circulation but is not typically used to address menopausal symptoms.
Choice C rationale:
Black cohosh is an herbal supplement that is commonly used by middle-aged women to help alleviate symptoms related to menopause, such as hot flashes and mood swings. Black cohosh may also have some benefits for bone health and cardiovascular health. However, black cohosh may also have some side effects and interactions with other medications, so the nurse should advise the women to consult their health care providers before taking it.
Choice D rationale:
Garlic is not typically used as an herbal supplement to manage menopausal symptoms; it is more commonly known for its potential cardiovascular benefits.
Correct Answer is B
Explanation
Choice A rationale:
A positive Rheumatoid factor is associated with rheumatoid arthritis and is not an adverse effect of methotrexate.
Choice B rationale:
A low WBC count (leukopenia) is an adverse effect of methotrexate and can increase the risk of infection.
Choice C rationale:
A hemoglobin level of 14.8 g/dL is within a normal range and is not an adverse effect of methotrexate.
Choice D rationale:
An erythrocyte sedimentation rate (ESR) of 24 mm/hr is within a normal range and is not an adverse effect of methotrexate.
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