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A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol.
Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)

Being unhoused.

Lack of health insurance.

Anxiety disorder.

Consuming fast food.

10th grade education.

Answer and Explanation

Correct Answer : A,B,C

Choice A rationale

Being unhoused can increase stress and instability, potentially leading to polysubstance use as a coping mechanism.

Choice B rationale

Lack of health insurance can limit access to healthcare, making it harder to seek help for substance use disorders and increasing the risk of polysubstance use.

Choice C rationale

Anxiety disorders can lead individuals to self-medicate with multiple substances, increasing the risk of polysubstance use disorder.

Choice D rationale

Consuming fast food is not directly related to polysubstance use disorder.

Choice E rationale

10th-grade education level alone is not a direct indication of polysubstance use disorder.

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Correct Answer is B

Explanation

Choice A rationale

Zidovudine (ZVD) is given intravenously during labor to reduce the risk of mother-to-child transmission of HIV.

Choice B rationale

HIV-positive mothers are advised not to breastfeed as HIV can be transmitted through breast milk. This statement indicates the need for further teaching.

Choice C rationale

Administering Zidovudine (ZVD) orally to the baby immediately after birth for 6 weeks is standard practice to prevent HIV transmission.

Choice D rationale

Adherence to taking Zidovudine (ZVD) at the same time every day during pregnancy is crucial for maintaining effective drug levels and reducing the risk of mother-to-child transmission.

A. Increased fibrinogen and decreased fibrinolysis. B. Increased blood volume and increased cardiac output. C. Decreased hematocrit and increased red blood cell level (RBC). D. Decreased blood pressure and decreased hemoglobin.

Correct Answer is A

Explanation

Choice A rationale

During pregnancy, there is an increase in fibrinogen and a decrease in fibrinolysis. These changes increase the risk of thromboembolic events, as they promote clot formation.

Choice B rationale

Increased blood volume and cardiac output are normal in pregnancy but do not directly increase the risk of thromboembolic events. They are adaptations to meet the increased metabolic demands.

Choice C rationale

Decreased hematocrit and increased RBC levels are typical in pregnancy but are related to the physiological dilution of blood, not thromboembolic risks.

Choice D rationale

Decreased blood pressure and hemoglobin are common in pregnancy due to increased blood volume but are not associated with increased thromboembolic risks. .

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A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol. Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client that is HIV positive about HIV treatment.The client is 16 weeks pregnant.Which statement made by the client indicates that she needs more teaching?

Correct Answer is B

Explanation

The nurse knows that a normal physiologic alteration of the circulatory system associated with thromboembolic events in pregnancy is:

Correct Answer is A

Explanation

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A nurse is reviewing the electronic medical record of a pregnant client who reports regular use of alcohol.
Which of the following findings should the nurse identify as an indication the client may be at risk for polysubstance use disorder? (Select All that Apply)