A nurse is teaching a client who is 28 weeks of gestation and not up-to date on current immunization. Which of the following immunizations should the nurse inform the client to anticipate receiving following birth.

A. Pneumococcal

B. Hepatitis

C. Human papillomavirus

D. Rubella .

2. A nurse is providing teaching to a client who is at 38 weeks of gestation and has a prescription to receive misoprostol intravaginally. Which of the following statement should the nurse make?

A. “you will need to stay in a side-lying position for 30 minutes after each dose.”

B. “You will receive an IV infusion of oxytocin 1 hour after your last dose.”

C.” You will receive a magnesium supplement immediately following therapy.”

D.” You will need to have a full bladder before the therapy begins.”

3. A nurse is teaching a client who is at 41 weeks of gestation about a non stress test. Which of the following information should the nurse include in the teaching?

A. “This test will confirm fetal lung maturity “.

B. “This test will determine adequacy of placental perfusion”.

C. “This test will detect fetal infection”.

D. “This test will predict maternal readiness for labor”.

For each medication below list the following information

Classification

Mechanism of action

Purpose/ use

Significant Side Effects / Adverse Reactions

Nursing Implications

Mrs. Anderson is being seen in the office to evaluate her general state of health. She is found to be malnourished and is suffering from lethargy and malaise. The provider suggests she should incorporate more protein in her diet, including some red meat, which has valuable amino acids and iron. The provider asks the medical assistant to provide Mrs. Anderson with a diet sheet listing certain meats and other foods high in protein. Mrs. Anderson tells the medical assistant she is a Seventh-Day Adventist and does not eat meat.

What should the medical assistant tell Mrs. Anderson about her dietary restrictions?

essay outline for many methods of losing weight are available today. Contrast dieting with exercising.

A woman brings her 13 year old son to the pediatrician’s office. The boy’s problems go back to the neonatal period, when he bled unduly after circumcision. When his deciduous (baby) teeth first erupted, he bit his lower lip, and the wound oozed for 2 days. As he began to crawl and walk, bruises appeared on his arms & legs. Occasionally he would sustain a nosebleed without having had an obvious injury. By the time he was 3 years of age, his parents became aware that occasionally he would have painful swelling of a joint (knee, shoulder or wrist) but his fingers & toes seemed spared. The joint swelling would be accompanied by exquisite tenderness; the swelling would subside in 2-3 days. The patient’s mother states that when her son was a baby, she noted what appeared to be blood in his stool, and the boy tells the pediatrician that twice his urine appeared red for 1-2 days. Anxiously the patient’s mother relates that her brother & her maternal uncle both had similar problems & were thought to be “bleeders”. There is no further family history of bleeding and there is no parental consanguinity (i.e. the patient’s parents are not blood relatives). Examination of this boy reveals the presence of ecchymosis and the inability to fully flex or extend his elbows. A panel of four tests is ordered with instructions to extend testing as appropriate. The four tests are a (1) platelet count, (2) prothrombin time, (3) partial thromboplastin time and (4) bleeding time. The patient’s platelet count was found to be 260,000/microliter (normal is 150,000-300,000)

a) What is the role of platelets in hemostasis?

b) What purpose is served by drawing blood into a solution of sodium citrate? What is the purpose of adding a solution of calcium chloride? Does the prothrombin time measure the intrinsic or extrinsic pathway of coagulation?

c) What mechanisms might cause the prothrombin time to be abnormally long?

d) With the given data, can you guess in general the site of the clotting abnormality in this patient?

e) What clotting factors participate in the early steps of the intrinsic pathway of thrombin formation?

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STUDY GUIDE FOR FINAL NUR 235

Health history, What and how to ask questions? Review of systems

Rapid assessment vs routine assessment.

Levels of prevention; primary, secondary and tertiary.

Terms: urticaria, pruritis, inflammation, edema, tachycardia, bradycardia, tachypnea, bradypnea, hyperventilation, hypoventilation, nocturia, hematuria, dysuria, anuria

Assessment techniques: Inspection, palpation, percussion and auscultation

Tools: Braden scale, Glascow, mini-mental, ABCDE tool

One math conversion question regarding weight.

Skin Assessment: Edema, scale for pitting edema, what to assess on skin.

EENT assessment, hearing, eyes, ears nose and mouth, terms of abnormalities with hearing, vision

Head Neck and Face, lymph node assessment

Respiratory assessment-abnormal/adventitious lung sounds, pulse oximetry

Cardiac assessment: landmarks, know basic EKG and basic abnormal rhythms from class

Abdominal assessment, contour/shapes of abdomens, how to assess

Musculoskeletal—ROM of all joints including neck and spine, normal ranges of all joints

Neurological—Reflexes, brain function, LOC, orientation, mini-mental, cranial nerves

If it is assumed that TOC ~DOC, would SUVA_TOC change significantly the process selection rationale?