The patient asks why the nurse is asking questions about her mother's obstetrical history. Which rationale for this questioning should the nurse provide?
1. "If your mother smoked while she was pregnant with you, your risk of lung cancer is higher.".
2. "Use of medications to prevent miscarriage may have an impact on your health.".
3. "The government wants to know for a genetic study.".
4. "If your mother had bleeding after delivery, you should avoid aspirin if you become pregnant.".
2
Rationale 1: There is no correlation between smoking during pregnancy and the development of lung cancer in the child.
Rationale 2: Daughters of women who took diethylstilbesterol (DES) are at higher risk of developing cancer of the vagina and cervix.
Rationale 3: This is not a reason to collect this information.
Rationale 4: All pregnant women should avoid aspirin. There is no correlation between their mothers' obstetric history and the need to avoid aspirin.
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An OB nurse is caring for a young client who is in labor. The nurse learns the client is not married and is hesitant to name the father of the fetus. A male visitor has come to visit the client. The nurse questions the visitor and is concerned
Which of the following behaviors would cause concern? 1. The father is claiming paternity. 2. The client very anxious with the male present. 3. The visitor is very close and in the nurse?s personal space regarding the status of the client. 4. The visitor is inquiring about a medical-surgical client and is acting in an odd manner.
The mother of a 3-year-old child who weighs 15 kg tells the NP that she has liquid acetaminophen at home but does not know what dose to give her child. The NP should tell the mother:
a. to give 1 teaspoon every 4 to 6 hours as needed. b. to throw away the old medication and get a new bottle. c. that she may give 5 to 7.5 mL per dose every 4 to 6 hours. d. to find out whether she has a preparation made for infants or children.
The nurse is reinforcing teaching to assist the patient adapt to a chronic illness. What should the nurse include in the teaching? (Select all that apply.)
a. Limit your social contacts and activities. b. Plan ways to compensate for your limitations. c. Try to ignore your symptoms as much as possible. d. Understand your medical regimen, and follow it carefully. e. Revise your daily schedule as needed to adjust to your illness.
The daughter of a dying patient is distressed about oversedation related to her mother's receiving 2 mg of morphine sulfate every hour. The nurse clarifies that this small dose of morphine is helpful in controlling the end-of-life symptom of:
a. dyspnea. b. pain. c. hallucinations. d. fatigue.