-HESI MID-CURRICULAR

-HESI MID-CURRICULAR -QUESTIONS & ANSWERS The nurse in the prenatal clinic assesses a client at 31 weeks gestation. The client's blood pressure is 150/96, edema of the face and hands is noted, 3+ protein in the urine, and serum albumin level is 3 gm/dL. Which of the following instructions by the nurse is MOST important? 1. The client should decrease caloric intake. 2. The client should eliminate all salt from her diet. 3. The client should ensure adequate protein. 4. The client should increase her intake of iron. The client should ensure adequate protein. A client comes to the prenatal clinic for her first visit. The nursing history reveals that the client's last menstrual period was five months ago, and the client is sure she is pregnant because she has been feeling the baby move. Which of the following responses byt he nurse is BEST? 1. "Since you have felt fetal movement, I am sure that you are pregnant." 2. "Lie down so that I can listen for fetal heart tones with the Doppler." 3. "We'll collect a urine specimen for testing to confirm that you are pregnant." 4. "Have you noticed feeling more fatigued lately?" "Lie down so that I can listen for fetal heart tones with the Doppler." The nurse notes that a two-day old infant shows a tendency to bleed. The nurse understands this is MOST likely caused by which of the following? 1. Hemophilia. 2. Absence of intestinal bacteria needed for the production of vitamin K. 3. Immature liver that is unable to synthesize clotting factors. 4. Excessive breakdown of red blood cells coupled with a delayed production of new ones. Absence of intestinal bacteria needed for the production of vitamin K. The nurse cares for a patient after a breast biopsy. After the procedure, it is MOST important for the nurse to take which of the following actions? 1. Apply ice to the area. 2. Reposition the patient for comfort 3. Carefully transport the specimen to the lab 4. Observe for bleeding. Observe for bleeding. The nurse admits a patient to the postpartum unit two hours after a vaginal delivery. Three hours after admission the nurse ambulates the patient to the bathroom, and the patient states there is a sudden gush of bleeding from her vagina. The nurse understands that the increase in amount of bleeding is due to which of the following?