The nurse is collecting data from a client seen in the health care clinic for a first prenatal visit. The nurse asks the client when the first day of her last menstrual period was and the client reports February 9, 2012
Using Nägele's rule, the nurse determines that the estimated date of con-finement (delivery) is: 1. October 16, 2012
2. November 16, 2012
3. October 7, 2012
4. November 7, 2012
2
Rationale: Nägele's rule determines the estimated date of birth and works on the premise that the woman has a 28-day menstrual cycle. To calculate the estimated date of confinement, sub-tract 3 months from the first day of the last menstrual period, add 7 days, and then add 1 year to that date; alternatively, count forward 9 months and add 7 days to the first day of the last men-strual period. Therefore, first day of last menstrual period, February 9, 2012; subtract 3 months, November 9, 2011; add 7 days, November 16, 2011; and add 1 year, November 16, 2012.
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The daughter of a severely depressed patient asks the nurse "What do you think about the relationship between depression and physical illness? Since my mother has been grieving over my father's death, she has had colds, shingles, and the flu, and
she's usually not one to get sick.". The answer that best reflects the current thinking about psychoimmunology is: a. "It is probably a coincidence. Not much evidence is available that emotions like grieving make one prone to physical illnesses.". b. "You might be paying more attention to your mother since your father died, and you are noticing more things such as minor illnesses.". c. "So far, the research on emotions or stress and becoming ill more easily is unclear—we just do not know for sure if there is a link.". d. "Emotions and stress are believed to interfere with white blood cell production and can increase the likelihood of infectious diseases.".
The nurse is assisting a client to perform activities that contribute to the client's health that the client would do unassisted if able. The nurse is implementing the theory of which nursing theorist?
a. Dorothea Orem c. Virginia Henderson b. Martha Rogers d. Hilda Peplau
The nurse is caring for a patient who has been diagnosed with psoriasis. The nurse is creating a teaching plan for the patient. What information should be included in the plan?
A) Caution when taking nonprescription medications B) Explain that contact with others should be avoided C) Frequently wash skin to prevent infection D) Liberally apply corticosteroids as often as needed
The nurse is planning to apply restraints to a client. In which situation may the nurse legally use restraints?
a. The client states he wants to get out of bed but the doctor has ordered bed rest. b. The client keeps asking for help to go to the bathroom and the nurse is very busy. c. The newly admitted client is confused as to the location of his bathroom. d. The critically ill client becomes violent and is removing IV lines and medical monitoring devices.