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As individuals move through life, predictable changes occur. When the nurse assists the client in understanding these predictable changes, the client:

• Accepts biologic aging.
• Experiences a reduced risk of chronic illness.
• Looks forward to retirement and "letting go" of work-related responsibility.
• Redirects growth and goals.
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A 24-year-old client, G 3, P 1, at 32 weeks' gestation, is admitted to the hospital because of vaginal bleeding. After reviewing the client's history, which of the following factors might lead the nurse to suspect abruptio placentae?

• Several hypotensive episodes.
• Previous low transverse cesarean delivery.
• One induced abortion.
• History of cocaine use.
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A pregnant client with a history of alcohol addiction is scheduled for a nonstress test. The nonstress test:

• Determines the lung maturity of the fetus
• Measures the activity of the fetus
• Shows the effect of contractions on the fetal heart rate
• Measures the neurological well-being of the fetus
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The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery?

• Hearing aid
• Contact lenses
• Wedding ring
• Artificial eye
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An example of external family coping strategies include:

• Joint family problem-solving.
• Limiting leisure time and recreational activities.
• Sharing concerns and experiences with relatives, friends, and neighbors.
• The use of humor and stress-management tactics.
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Which statement made by the nurse to the client who is given hydrocodone bitartrate (Vicodin) for pain control indicates knowledge of possible side effects of this medication?

• It is important that you avoid bananas and green, leafy vegetables while on this medication.
• You will need to stay close to a bathroom while taking this medication because it can cause urinary incontinence.
• Drink plenty of liquids and increase your intake of high-fiber foods while on this medication.
• Report any muscle twitching, muscle cramping, or numbness and tingling that may occur.
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Which electrolyte imbalance will the nurse find with hyperparathyroidism, Paget's disease, adrenal insufficiency, and prolonged immobilization?

• Hypercalcemia.
• Hypermagnesemia.
• Hypocalcemia.
• Hypomagnesemia.
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A multigravid client diagnosed with a probable ruptured ectopic pregnancy is scheduled for emergency surgery. In addition to monitoring the client's blood pressure before surgery, which of the following would the nurse assess?

• Uterine cramping
• Abdominal distention
• Hemoglobin and hematocrit
• Pulse rate
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The physician has ordered an injection of morphine for a client with post-operative pain. Before administering the medication, it is essential that the nurse assess the client's:

• Heart rate
• Respirations
• Temperature
• Blood pressure
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A client's echocardiogram indicates vegetation on the heart valves. The nurse knows that the vegetation may be caused by which condition?

• Diabetes mellitus
• Myocardial infarction
• Bacterial infection
• Hypertension
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