The nurse is assessing a 25-year-old primigravida who is 20 weeks pregnant. Which vital signs finding should the nurse report immediately to the physician?
1. Pulse 88/min
2. Respirations 30/min
3. Blood pressure 134/82
4. Temperature 37.4C (99.3F)
Question 2
The clinic nurse is assisting with an initial prenatal assessment. The following findings are present: spider nevi present on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings?
1. Have the healthcare provider see the client today.
2. Instruct the client to avoid direct sunlight.
3. Document the findings on the prenatal chart.
4. Analyze previous thyroid hormone laboratory results.
The nurse needs to note the source of the patient health history
The nurse is using Standard Precautions to draw blood.
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