A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later.

How should the nurse interpret the findings?

Hematuria

BUN 40 mg/dL

Leukorrhea

Platelet count 90,000/mm .

Answer and Explanation

The Correct Answer is B

Choice A rationale
Hematuria, or blood in the urine, is not a normal finding in pregnancy. It could indicate a urinary tract infection, kidney stones, or other kidney problems. However, without more information, it’s not possible to determine the significance of this finding in a client who is at 33 weeks of gestation.
Choice B rationale
A BUN (Blood Urea Nitrogen) level of 40 mg/dL is higher than the normal range, which is between 7 and 20 mg/dL17181920. This could indicate that the kidneys are not working properly. However, it could also be due to a high-protein diet, dehydration, or other factors.
Choice C rationale
Leukorrhea, or vaginal discharge, is a common symptom of pregnancy. It is usually thin, white or clear, and mild smelling. If the discharge is yellow, green, or gray, has a strong smell, or is accompanied by itching or burning, it could indicate an infection.
Choice D rationale
A platelet count of 90,000/mm is lower than the normal range, which is between 150,000 and 450,000/mm25. This could indicate a condition called thrombocytopenia, which can be caused by various conditions, including pregnancy25. However, without more information, it’s not possible to determine the significance of this finding in a client who is at 33 weeks of gestation25.

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Correct Answer is A

Explanation

Choice A rationale
Ovulation will indeed remain the same after a tubal ligation. The procedure involves blocking or sealing the fallopian tubes, which prevents the egg from reaching the uterus. However, the ovaries continue to release eggs.
Choice B rationale
A tubal ligation procedure does not affect the length of the menstrual period. The menstrual cycle is regulated by hormones, not the patency of the fallopian tubes.
Choice C rationale
Premenstrual tension or premenstrual syndrome (PMS) is not eliminated by tubal ligation. PMS is related to the hormonal changes that occur during the menstrual cycle.
Choice D rationale
Hormone replacements are not needed following a tubal ligation. The ovaries continue to produce hormones as they did before the procedure.

A. Epigastric discomfort B. Abdominal cramping C. Temperature 37.2°C (99.8°F) D. Flank pain

Correct Answer is D

Explanation

Choice A rationale
Epigastric discomfort is not typically associated with pyelonephritis. It may be a symptom of other conditions such as gastrointestinal issues or preeclampsia.
Choice B rationale
Abdominal cramping is not a typical manifestation of pyelonephritis. It could be a symptom of various other conditions, including gastrointestinal disorders or gynecological issues.
Choice C rationale
A temperature of 37.2°C (99.8°F) is within the normal range and is not indicative of pyelonephritis. Pyelonephritis, an infection of the kidneys, is typically associated with a high fever.
Choice D rationale
Flank pain is a common manifestation of pyelonephritis. This is because the kidneys, which are affected in pyelonephritis, are located in the flank area.

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A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later. How should the nurse interpret the findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching to a client following a tubal ligation procedure. Which statement by the client indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is collecting data from a client who is at 30 weeks of gestation. Which finding should the nurse identify as a manifestation of pyelonephritis?

Correct Answer is D

Explanation

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A nurse is caring for a client who is at 33 weeks of gestation. The nurse is assessing the client 24 hours later.

How should the nurse interpret the findings?