A nurse is educating a client who has just tested positive for pregnancy.
The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.
Which of the following symptoms should the nurse advise the client to report to the clinic?

Facial edema

Leukorrhea

Nausea and vomiting

Urinary frequency

Answer and Explanation

The Correct Answer is A

Choice A rationale

Facial edema, or swelling in the face, can be a sign of a serious complication during pregnancy, such as preeclampsia. Preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, often the liver and kidneys.

Choice B rationale

Leukorrhea, or a thick, milky discharge from the vagina, is a common and normal symptom of pregnancy. It is not typically a sign of a complication.

Choice C rationale

Nausea and vomiting are common symptoms during the first trimester of pregnancy. However, severe or persistent nausea and vomiting can indicate a condition called hyperemesis gravidarum, which requires medical attention.

Choice D rationale

Urinary frequency is a common symptom during pregnancy and is not typically a sign of a complication.

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Correct Answer is C

Explanation

Choice A rationale

A sweat test is used to diagnose cystic fibrosis, a genetic disorder that affects the lungs and digestive system. It is not used to diagnose pernicious anemia.

Choice B rationale

Haptoglobin is a protein produced by the liver that binds to hemoglobin in the blood to prevent it from being excreted through the kidneys. While it can be used to diagnose conditions that cause the destruction of red blood cells, it is not used to diagnose pernicious anemia.

Choice C rationale

The Schilling test is used to determine whether the body absorbs vitamin B12 normally, which is crucial for the diagnosis of pernicious anemia. Pernicious anemia is a condition where the body is unable to absorb vitamin B12 due to a lack of intrinsic factor, a protein made in the stomach.

Choice D rationale

Antinuclear antibodies (ANAs) are a type of autoantibody that can attack the body’s own tissues. While they can be present in various autoimmune diseases, they are not used to diagnose pernicious anemia.

A. If the client is comfortable, they are more likely to continue to seek treatment. B. Without culturally competent care, the client might pay more out of pocket for treatment. C. Receiving culturally competent care can reduce the chance that the client will need psychotropic medications. D. Providing culturally competent care can reduce the client’s feelings that they are risking relationships and jobs by seeking care.

Correct Answer is A

Explanation

Choice A rationale

If a client is comfortable with the care they receive, they are indeed more likely to continue to seek treatment. Cultural competence in healthcare can help ensure that all patients, including those from underrepresented cultures, feel comfortable and understood. This can lead to increased patient engagement and better health outcomes.

Choice B rationale

While it’s true that without culturally competent care, a client might face financial barriers to treatment, it’s not a direct benefit of culturally competent care. The main benefits of culturally competent care are improved patient satisfaction, better health outcomes, and increased patient safety.

Choice C rationale

While receiving culturally competent care can have many benefits, reducing the chance that the client will need psychotropic medications is not directly related to cultural competence. The need for such medications is determined by a client’s specific health needs.

Choice D rationale

Providing culturally competent care can indeed help reduce a client’s fear of risking relationships and jobs by seeking care. By respecting and understanding a client’s cultural background, healthcare providers can help alleviate fears and misconceptions about seeking care. PregnancyPregnancy Explore

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A nurse is educating a client who has just tested positive for pregnancy.The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.Which of the following symptoms should the nurse advise the client to report to the clinic?

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Naxlex Comprehensive Predictor Exams

A nurse is providing care for a patient who the healthcare provider suspects may have pernicious anemia.Which diagnostic test should the nurse anticipate the healthcare provider will order?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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A nurse is educating a client who has just tested positive for pregnancy.
The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.
Which of the following symptoms should the nurse advise the client to report to the clinic?