A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider?
Blurred vision
Leg cramps
Urinary frequency
Gingivitis
The Correct Answer is A
A. Blurred vision: Blurred vision during the third trimester can indicate a serious complication such as preeclampsia, which requires immediate reporting. It may signal elevated blood pressure and possible central nervous system involvement. Prompt communication with the provider is essential for maternal and fetal safety.
B. Leg cramps: Leg cramps are a common discomfort during pregnancy due to changes in circulation and pressure from the growing uterus. While uncomfortable, they are not considered an urgent finding that requires reporting.
C. Urinary frequency: Increased urinary frequency is typical in the third trimester as the enlarging uterus places pressure on the bladder. This is expected and usually does not indicate a complication unless accompanied by other symptoms such as pain or dysuria.
D. Gingivitis: Hormonal changes during pregnancy can lead to gum inflammation and bleeding. While oral care should be reinforced, gingivitis is a common, non-urgent finding and does not require immediate reporting to the provider.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Frequent urge to urinate: Urinary frequency and urgency are expected findings after TURP due to bladder and urethral irritation from surgery and catheterization. These sensations typically improve as inflammation subsides and do not require immediate provider notification.
B. Occasional small clots in the urine: Small clots can be expected during the early postoperative period following TURP as the prostatic tissue heals. Continuous bladder irrigation often helps flush these clots, and their presence alone does not indicate a complication unless they become large or obstruct urine flow.
C. Dark red urine: Dark red urine indicates active bleeding and is an abnormal finding 1 day post-TURP. This suggests possible hemorrhage or inadequate hemostasis and requires prompt provider notification to prevent complications such as clot retention or hypovolemia.
D. Urine output of 300 mL over 8 hr: This urine output averages approximately 37.5 mL/hr, which is within acceptable limits for an adult postoperative client. Adequate output suggests sufficient renal perfusion and does not require immediate intervention.
Correct Answer is C
Explanation
A. The website URL is listed as com: A ".com" domain indicates a commercial site and does not guarantee the accuracy or credibility of health information. Commercial sites may have marketing motives that can bias the content.
B. The author's name is listed without credentials: Listing an author without credentials does not provide verification of expertise in the medical field. Credible health information should be authored or reviewed by qualified healthcare professionals.
C. The author cites references to statements made: Providing references to scientific studies or reputable sources demonstrates that the information is evidence-based and allows verification. Cited references indicate that the content is grounded in credible medical research, enhancing trustworthiness.
D. The website was last updated 3 years ago: Health information can become outdated quickly. A last update from several years ago may not reflect current guidelines or best practices, reducing the reliability of the resource.
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