During a routine prenatal visit at the antepartal clinic, a multipara at 35 weeks gestation presents with 2+ edema of the ankles and feet. Which additional information should the practical nurse (PN) report to the registered nurse?
Blood pressure.
Due date.
Fundal height.
Gravida and parity.
The Correct Answer is A
Edema, particularly if it is new or worsening, can be an indicator of preeclampsia, a potentially serious condition characterized by high blood pressure and organ dysfunction. Monitoring the client's blood pressure is crucial in assessing for signs of preeclampsia and determining the appropriate course of action.
B. Due date: The due date is an important piece of information for monitoring the progress of the pregnancy, but it is not directly relevant to the client's presenting symptom of edema. The focus should be on assessing for potential complications associated with edema, such as preeclampsia.
C. Fundal height: Fundal height is a measurement used to estimate fetal growth and position. While it is an important parameter to monitor during prenatal visits, it is not directly related to the client's edema. The priority in this situation is to assess for signs of preeclampsia or other complications, which may require assessing the blood pressure.
D. Gravida and parity: Gravida refers to the total number of pregnancies a woman has had, while parity refers to the number of pregnancies that have reached viability (20 weeks or more). While these pieces of information provide a background understanding of the client's obstetric history, they do not provide immediate insight into the current issue of edema. Assessing the blood pressure would be more relevant in this situation to identify any potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Gather the procedure tray and equipment – The practical nurse should gather all necessary supplies for the healthcare provider to perform the thoracentesis efficiently. Preparing the equipment beforehand ensures that the procedure can start promptly and reduces interruptions for missing supplies.
Rationale for Incorrect Answers:
B. Cleanse the site and cover with a sterile towel – This action should be performed by the healthcare provider immediately before the procedure to maintain sterility. The PN’s role is to prepare equipment and ensure the client is positioned correctly.
C. Keep the patient NPO (nothing by mouth) and encourage them to void – While voiding may be encouraged before some procedures to improve client comfort, it is not necessary for thoracentesis. Additionally, keeping the client NPO is not required, as the procedure does not typically involve sedation that would necessitate this restriction.
D. Place the patient in an orthopneic position – This may be done just before the procedure, but the healthcare provider typically directs the final positioning. Initial positioning or seating at the bedside can be done, but orthopneic positioning should follow the provider’s instructions.
Correct Answer is D
Explanation
Taking oral prednisone with food helps to minimize gastrointestinal side effects such as stomach irritation and upset. Food acts as a protective barrier for the stomach lining, reducing the risk of irritation caused by the medication. Additionally, taking prednisone with food can help improve its absorption and distribution in the body.
The other options mentioned are incorrect:
A- "Take on an empty stomach": This is incorrect because taking prednisone on an empty stomach can increase the risk of gastrointestinal side effects. It is generally recommended to take prednisone with food to minimize these side effects.
B- "Take before bedtime": This is incorrect as there is no specific timing requirement for taking prednisone before bedtime. The timing of prednisone administration should be based on the individual's needs and the instructions provided by the healthcare provider.
C- "Take only as needed": This is incorrect because prednisone is typically prescribed with specific dosing instructions. It is important for the client to follow the prescribed dosing schedule and not take it "as needed" unless instructed otherwise by the healthcare provider.
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