A patient at 10 weeks' gestation has developed cholecystitis. If surgery is required, the safest time during pregnancy would be:
1. Immediately, before the fetus gets any bigger.
2. Early in the second trimester.
3. As close to term as possible.
4. The risks are too high to do it anytime in pregnancy.
2
Rationale 1: The risk of miscarriage is greater in the first trimester.
Rationale 2: Early in the second trimester, the risk of spontaneous abortion and early labor is lower, and the fetus is not so large that it might interfere with the abdominal field.
Rationale 3: A fetus close to term is so large that it might interfere with the abdominal field.
Rationale 4: There is always a risk, but it is greater in the first and third trimesters.
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Which of the following questions indicates further teaching is needed regarding the client's rights in a therapeutic environment? 1. "Where do I go if I want to smoke?" 2. "What time does morning group start?" 3. "What time are meals served on the unit?" 4. "What happens if I refuse to attend a group activity?"
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A) Cross-stitching B) Sitting upright C) Gazing upward D) Talking on the phone
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A) Assures the public that the practitioner will provide quality nursing care B) Suggests achievement of content mastery needed for successful functioning in multiple practice areas C) Assures continuing competence will be achieved for future relicensure D) Indicates that minimum competency standards have been met at that time