The nurse is reviewing prenatal vitamin supplements with an expectant client. Which supplement should be included in the teaching?
a. Vitamin A throughout pregnancy
b. Multivitamin preparations as soon as pregnancy is suspected
c. Folic acid for all women of childbearing age
d. Folic acid during the first and second trimesters of pregnancy
ANS: C
The widespread use of folic acid among women of childbearing age has decreased the incidence of spina bifida significantly. Vitamin A is not related to the prevention of spina bifida. Folic acid supplementation is recommended for the preconception period and during the pregnancy. Only 42% of women actually follow these guidelines.
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A patient asks the nurse what cardiac glycosides do to improve his condition. What is the nurse's best response?
A) "They decrease the force of myocardial contractions." B) "They help renal blood flow and increase urine output." C) "They increase heart rate." D) "They increase conduction velocity."
Mrs. H, 70 years old, complains of discomfort in her pelvic area. Your assessment of Mrs. H reveals pale color and dryness of the vaginal introitus, which most likely indicates
a. atrophy related to the aging process. b. atrophy related to hormone replacement therapy. c. bacterial infection. d. viral infection.
The nurse cited "intolerable working conditions" as the reason for resignation. In order to claim constructive discharge, what must the nurse prove?
1. The nurse was reprimanded more than other nurses. 2. The workplace stress had increased since hire. 3. The employer deliberately created the work condition to force the nurse to resign. 4. The nurse was tired of waiting for a transfer to the day shift that had been promised for six months.
A nurse is discussing vesicant chemotherapeutic agents with a nursing student. Which statement by the student indicates a need for further teaching about this type of drug?
a. "Extravasation of this type of drug may result in the need for skin grafts." b. "If an IV line used for a vesicant drug infiltrates, it must be discontinued immediately." c. "These drugs may be administered orally as well as intravenously." d. "This type of drug may not be infused at a site of previous irradiation."