The nurse is presenting a class to women who are currently pregnant or are planning pregnancy in the near future. Which client statement indicates that additional teaching is required?
1. "The older a woman is when she conceives, the safer the pregnancy is."
2. "Pregnant teens can have additional nutritional needs."
3. "A woman whose sisters all had hypertension will be watched carefully."
4. "Pregnancy may be more difficult to achieve in my 40s."
1
Explanation: 1. The health risks associated with pregnancy vary by age. The risk for maternal death is significantly higher for women over age 35 and even higher for women age 40 and older. The incidence of low-birth-weight infants, preterm births, miscarriage, stillbirth, and perinatal morbidity and mortality is higher among women age 35 or older.
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The statement by a nurse caring for a client with an eating disorder that signals a need for
supervision is a. "I am working to encourage the client to be healthier.". b. "I understand that the client is terrified of gaining weight.". c. "The client's perfectionism and resistance often make me angry.". d. "I have had to make sure I do not come across as a parent figure.".
A nurse performing an admission history on a patient learns that the patient is taking orlistat (Xenical), warfarin (Coumadin), and levothyroxine (Synthroid). What will the nurse do?
a. Contact the provider to discuss increasing the warfarin dose. b. Give the levothyroxine at least 4 hours before giving the orlistat. c. Suggest that the patient avoid fatty foods while taking these medications. d. Tell the patient to take the orlistat on an empty stomach.
The nurse has provided education for a client with iron-deficiency anemia. Which statement made by the client indicates further teaching is required?
A. "Most iron in our bodies is stored on hemoglobin in the red blood cell." B. "Transferrin is a protein that transports iron to places in our bodies where it is needed." C. "We need extra iron because when the red blood cells die, all their iron is excreted from the body." D. "The most common cause of nutritional anemia is iron deficiency."
A nurse is providing care to a group of patients. Which situation will require the nurse to obtain a telephone order?
a. As the nurse and health care provider leave a patient's room, the primary care provider gives the nurse an order. b. At 0100, a patient's blood pressure drops from 120/80 to 90/50, and the incision dressing is saturated with blood. c. At 0800, the nurse and health care provider make rounds, and the primary care provider tells the nurse a diet order. d. A nurse reads an order correctly as written by the health care provider in the patient's medical record.