A newly wed young adult patient tells the nurse that she hopes to become pregnant soon. What should the nurse recommend to this patient to support the 2020 National Health Goals for pregnancy? (Select all that apply.)
A) Stop smoking.
B) Increase exercise.
C) Eat a healthy diet.
D) Reduce work hours.
E) Limit alcohol intake.
A, C, E
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Nurses can help the nation achieve the 2020 National Health Goals for pregnancy by being certain women receive counseling in nutrition and low uses of alcohol and tobacco before pregnancy so they can enter intended pregnancies in the best health possible. Increasing exercise and reducing work hours are not interventions that would support the 2020 National Health Goals for pregnancy.
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A nurse teaches a client who is recovering from acute pancreatitis. Which statements should the nurse include in this client's teaching? (Select all that apply.)
a. "Take a 20-minute walk at least 5 days each week." b. "Attend local Alcoholics Anonymous (AA) meetings weekly." c. "Choose whole grains rather than foods with simple sugars." d. "Use cooking spray when you cook rather than margarine or butter." e. "Stay away from milk and dairy products that contain lactose." f. "We can talk to your doctor about a prescription for nicotine patches."
A trauma patient's intra-abdominal pressure (IAP) measures 26 mm Hg. How would the nurse explain needed treatment to the patient's family?
1. "This pressure reading is normal and will help to get oxygen to the damaged internal organs." 2. "If we reduce the amount of IV fluid he is getting, the IAP will decrease." 3. "We will raise the head of his bed and have him cough more frequently to reduce this pressure." 4. "It is very likely that he will be taken back to surgery to relieve the pressure building in his abdomen."
A patient is admitted to the critical care unit with a subdural hematom
a. The GCS is used to assess his level of consciousness. Which statement is true concerning the GCS? a. It provides data about level of consciousness only. b. It is considered equivalent to a complete neurologic examination. c. It is a sensitive tool for evaluation of an altered sensorium. d. It is the most critical assessment parameter to account for possible aphasia.
A patient in the second stage of labor is expected to delivery within the hour. The epidural is not working and the patient is asking for pain medication. Which is the most appropriate action by the nurse?
A) At the nurses' station call the anesthetist to retry the epidural B) Call the doctor and obtain a reduced dose of pain medication C) Give the pain medication because it is needed D) Encourage the patient through the contractions and explain not giving the pain medication