The nurse is preparing to care for a client who is being admitted ...

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The nurse is preparing to care for a client who is being admitted to the hospital with a possible diagnosis of ectopic pregnancy.
 
  The nurse develops a plan of care for the client and determines that which of the following is the priority nursing action? 1. Monitoring daily weight
  2. Assessing for edema
  3. Monitoring the temperature
  4. Monitoring the apical pulse

Question 2

A nurse is conducting a routine screening to detect a client's risk for toxoplasmosis parasite infection during pregnancy. The nurse would ask the client about which of the following items to determine this risk?
 
  1. Number of sexual partners during pregnancy
  2. Presence in the home of cats who use a kitty litter box for elimination
  3. Exposure to children with rashes or gastrointestinal symptoms
  4. History of high fevers or unusual rashes during the first 6 weeks of pregnancy

[pallen55]

Answer to Question 1

4

Rationale: Nursing care for the client with a possible ectopic pregnancy is focused on preventing or identifying hypovolemic shock and controlling pain. An elevated pulse rate is an indicator of shock. Weight and edema are priority interventions for the client with preeclampsia, and an ele-vated temperature is an indicator of infection.

Answer to Question 2

2

Rationale: Toxoplasmosis is a systemic (and usually asymptomatic) illness caused by a protozoan parasite. Approximately one third of all women in the United States have positive antibody titers for toxoplasmosis, thus confirming prior exposure. Humans acquire the infection by consuming inadequately cooked meat, eggs, or milk; by ingesting or inhaling the oocyst stage excreted in feline feces or in contaminated soil; or from receiving contaminated blood products. Other than transplacental infection, this disease is rarely transmitted from human to human. During pregnancy, the parasite may be transmitted across the placenta and cause severe infection in the developing embryo or fetus. The other options are questions unrelated to toxoplasmosis.