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. “I insert needles into meridian lines of my child's body to help with pain relief.”: Inserting needles along meridian lines describes acupuncture, a traditional practice aimed at balancing energy flow. Acupuncture does not involve suction or heated containers placed on the skin.
B. "I rub the edge of a coin lengthwise on my child's back when he is sick.": Rubbing a coin on the back refers to coining, also known as gua sha, which is used to release illness or bad energy. Coining produces linear marks rather than circular suction marks.
C. “I sometimes place a bottle containing steam against my child's skin.": Placing a heated bottle or cup against the skin creates suction as the air cools, which is characteristic of cupping therapy. Cupping commonly leaves circular marks due to localized pressure and increased blood flow.
D. "I apply petroleum jelly with garlic along my child's wrist to treat infectious disease.": Applying garlic with petroleum jelly reflects a topical folk remedy. This specific practice is not formally categorized as cupping or acupuncture
Correct Answer is D
Explanation
A. Cimetidine: Cimetidine is an H2-receptor antagonist used for gastric acid reduction. It does not significantly increase the risk of bleeding when taken with enoxaparin and is generally considered safe for concurrent use.
B. Docusate: Docusate is a stool softener and does not affect coagulation. It is safe to use with enoxaparin and can help prevent constipation associated with reduced mobility or opioid use.
C. Calcium supplement: Calcium supplements do not impact anticoagulation or platelet function. They are safe to take with enoxaparin and do not increase bleeding risk.
D. Naproxen: Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits platelet function and can increase the risk of bleeding when taken with enoxaparin. Clients should avoid NSAIDs unless approved by the provider and use alternative pain management strategies.
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