The registered nurse suspects a newborn is being abused when large bruises are found on the
Question Answered step-by-step The registered nurse suspects a newborn is being abused when large bruises are found on theinfant’s body during assessment. Which action by the registered nurse is of primary importance?A.Document the assessment findings.B.Report the case in which the abuse is suspected.C.Refer the family to appropriate support groups.D.Assist the family to identify family support systems. The RN has included the nursing diagnosis of fear related to a constant threat of violence for apregnant patient who experienced intimate partner violence. Which is an appropriate outcome forthis patient?A.The patient will ask to hear the fetal heart rate at every appointment.B.The patient will carry with her telephone numbers of emergency services and womenshelters.C.The patient will call to cancel prenatal appointments when not feeling well.D.The patient will state her partner has become very attentive and loving. The charge nurse of the antepartum unit is making an assignment for the registered nurses.Which client should be assigned to the most experienced registered nurse on the unit?A.The client at 32 weeks with small amount painless vaginal bleeding and fetal heart rate of130.B.The client at 38 weeks with hypertension, 4+ reflexes and clonus present.C.The client at 40 weeks with ruptured membranes and no contractions.D.The client at 28 weeks with newly diagnosed gestational diabetes and a blood sugar of 140 While teaching women about menopause which risk would the RN need to include as a potentialcomplication of prolonged hormone therapy?A.GynecomastiaB.Blood clotsC.Renal dysfunctionD.Osteoporotic fractures The RN is caring for a client receiving magnesium sulfate for preeclampsia. Which nursingoutcome is most appropriate to include in the client’s plan of care? The patient will:A.States pain rating of less than 3 on Verbal pain scale 30 minutes after administration.B.Have no protein in urine by discharge .C.Urinate frequently during administration of medication.D.Experience no seizure activity during hospitalization Which lab result would the registered nurse examine for the patient with menorrhagia?A.White blood cell countB.Serum calciumC.Thyroxine screenD.Hematocrit The patient states to the registered nurse that she has multiple sex partners. Which is the bestcontraceptive method for this patient to consider?A.Female condomB.Intrauterine deviceC.Birth control pillsD.Bilateral tubal ligation The pregnant woman who is 33 weeks gestation reports feeling light-headed while lying on herback. Which intervention should the RN perform next?A.Raise the head of the bedB.Inform the health care providerC.Take the client’s blood pressureD.Administer oxygen via face mask What self-care measure is most important for the registered nurse to include while teaching amenopausal woman who chooses not to use hormone therapy?A.Performing regular weight bearing exercises.B.Stop using barrier methods of birth control.C.Increasing the intake of dairy products.D.Taking Vitamin E and B complex vitamin supplements The RN is performing a medication reconciliation with a client who has been prescribedsildenafil. Which medication should the RN report to the health care provider for clarification?A.NitroglycerineB.Rosuvastatin calciumC.Amoxicillin clavulanateD.Vitamin B-12 A 15-year-old student approaches the RN who works at the high school. The student shares shehad unprotected sex with her boyfriend last evening and is now worried about the consequences. What is the first action the RN should take?A.Provide educational information on STIsB.Notify Child Protective ServicesC.Assure the student confidentiality will be maintainedD.Offer information on Emergency Contraception A patient asks the RN how gestational diabetes mellitus affects the developing fetus. What is theappropriate response by the RN?A.The fetus decreases insulin production to counteract growth stimulation.B.The fetus has an increase in pulmonary surfactant production because of hyperinsulinemia.C.The fetus has a decreased size because hypoinsulinemia acts as a growth inhibitor.D.The fetus must increase insulin production because insulin does not cross the placenta Which family planning method would be most appropriate for the RN to discuss with a 26-yearold non-smoking female with no medical problems who states she is very embarrassed to touch her vagina?A.Intrauterine deviceB.DiaphragmC.Birth control pillsD.Cervical cap Which lifestyle practice is most important for the RN to discuss with the postmenopausal patient who reports increasing episodes of urinary leakage?A.Eliminate the consumption of caffeineB.Strengthen pelvic muscles with Kegel exercisesC.Establish an hourly voiding scheduleD.Decrease intake of water and other fluids Which probable signs of pregnancy would the woman of 10-week gestation exhibit during aroutine prenatal examination? Select all that apply.A.Breast tendernessB.AmenorrheaC.Positive serum Hcg (Human chorionic gonadotropin)D.Hegar’s signE.Fetal heart sounds A 2-month-old is brought into the emergency room. Which factor leads the RN to suspectabusive head trauma?A.Large bruises on bodyB.Sunken fontanelsC.Profuse diarrheaD.Retinal hemorrhage A pregnant couple learn that their fetus has a genetic anomaly that will affect cognitive andmusculoskeletal development. What is the first detail the RN needs to address to help the couple make an informed decision?A.Assist the couple in identifying their valuesB.Analyze the opinions of extended family membersC.Suggest routes to terminate pregnancyD.Explain health care options for the baby going forward Which factor would the RN identify in the woman’s health history that may be contributing to acouple’s infertility?A.The patient is 37-years-old.B.The patient experienced menarche at 13 years.C.The patient is a dental hygienist.D.The patient jogs 2 miles a day A woman has a new prescription for a low-dose combination birth control pill. Whichinformation would the RN include while teaching the woman about what to do if a dose isforgotten?A.Wear a pad for the next week because vaginal bleeding may be experienced.B.Take an at-home pregnancy test at the end of the month to check for pregnancy.C.Take it as soon as remembered, even if that means taking two pills in one day.D.Skip that pill and refrain from intercourse for the remainder of the month. The triage nurse at the OB-GYN office has messages from all these clients. Which call should bereturned first?A.The client at 34 weeks gestation who has a persistent low backacheB.The client at 38 weeks gestation who has frequent urinationC.The client at 32 weeks gestation who has a runny nose and loose coughD.The client at 36 weeks gestation who has edematous feet and ankles Health Science Science Nursing NUR 209 Share QuestionEmailCopy link Comments (0)


