The nurse seeks to involve the adolescent father in the prenatal care of his girlfriend. What is the rationale for this nursing strategy?
1. Having the father more involved with the birth
2. Avoiding conflict between the adolescent father and pregnant teenager
3. Including his name of the birth certificate
4. Avoiding legal action by the adolescent father's family
1
Explanation: 1. Many young fathers genuinely want to be involved with their children and would have more contact and input if they could.
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The admitting nurse has just met a new patient who has been admitted from the emergency department. As the nurse introduces himself, he begins the process of inspection
What nursing action should the nurse include during this phase of assessment? A) Gather as many psychosocial details as possible. B) Pay attention to the details while observing. C) Write down as many details as possible during the observation. D) Do not let the patient know he is being assessed.
An older adult has been prescribed medication to control hypertension. Today she says, "I took this same medication years ago, but I'm having more side effects this time." What should the nurse consider before replying?
1. Many antihypertensive medications have similar names so the patient could have confused the drugs. 2. Older women often decrease oral fluid intake, which would change response to the drug. 3. The older pancreas cannot supply enzymes to metabolize the drugs as early in the digestive system. 4. Changes in the blood-brain barrier may make older patients more sensitive to some side effects.
The nurse should monitor the client taking verapamil for:
a. hypotension. c. diarrhea. b. hypertension. d. euphoria.
A preschool child in the emergency department has a respiratory rate of 10 breaths per minute. How should the nurse interpret this finding?
a. The child is relaxed. b. Respiratory failure is likely. c. This child is in respiratory distress. d. The child's condition is improving.