The nurse caring for a pregnant client should be aware that the U.S. birth rate shows which trend?
a. Births to unmarried women are more likely to have less favorable outcomes.
b. Birth rates for women 40 to 44 years old are beginning to decline.
c. Cigarette smoking among pregnant women continues to increase.
d. The rates of maternal death owing to racial disparity are elevated in the United States.
ANS: A
Low-birth-weight infants and preterm birth are more likely because of the large number of teenagers in the unmarried group. Birth rates for women in their early 40s continue to increase. Fewer pregnant women smoke. In the United States, there is significant racial disparity in the rates of maternal death.
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An older adult client has been taking lithium for several months. The nurse should recognize that the client's age increases susceptibility to which of these potential complications?
a. "breakthrough" episodes despite appropriate medical management b. developing lithium toxicity c. noncompliance with drug regime d. sodium depletion
The ability of NPs to diagnose and treat has increased the provision of health care, teaching, and client compliance with teaching plans. In some states standing orders for the manage-ment of certain illnesses exist. This implies:
1. All patients will be treated the same. 2. Nursing diagnoses are used as the basis of practice. 3. Assessment is based on the medical model and does not involve nursing. 4. The NP uses protocols or algorithms that were previously agreed upon by the physician and the NP.
Which is the first step of the nursing process?
a. Nursing diagnosis b. Planning c. Assessment d. Evaluation
Which statement is accurate concerning the use of aspirin (ASA) to treat pain?
1. High doses are necessary (1 gram) to achieve anticoagulant effects. 2. Enteric-coated capsules are available to reduce GI side effects. 3. Increase consumption of herbs such as garlic and ginger to potentiate the anti-inflammatory effects. 4. In low doses (325 mg), it significantly reduces inflammation.