Vulnerable groups and families often have multiple risk factors. An example of this is

1. Smokers who use chewing tobacco as well as cigarettes
2. Substance abusers who test positive for human immunodeficiency virus (HIV) and who are homeless
3. Persons with limited access to care because they live in a rural area
4. New mothers needing information about baby and child care


ANS: 2
Multiple risk factors are present in substance abusers, including contracting HIV and hepatitis B virus. Homelessness is another risk factor.

Nursing

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The perinatal nurse is assessing a woman at 36 weeks' gestation. Her fundal height measurement was last recorded at 34 cm. The patient's abdomen appears to be widest from side to side. The nurse suspects the possibility of which type of fetal presentation

A. Breech B. Cephalic C. Face D. Shoulder

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An older female adult has a glass of wine a few days after being discharged from the hospital with atrial fibrillation. Which instruction should the nurse provide to this woman first?

a. A daily glass of red wine might be heart-healthy. b. Avoid drinking more than 4 ounces of wine daily. c. Ask for help before getting up after drinking wine. d. Avoid alcoholic beverages when on an anticoagulant.

Nursing

The unit is shifting from primary nursing to a team model in an effort to contain costs. Staff members are angry and ask for a meeting to discuss the change

After hearing their concerns re-lated to reduction in professional autonomy and care quality, you: a. Acknowledge the loss. b. Explain the reasons for change, empha-sizing the need to reduce costs. c. Repeat the information several times, giving detailed budget overviews. d. Adjourn the meeting and provide explana-tion through e-mail.

Nursing

Which of the following statements is true of the adverse-effects of thiazide and loop diuretics?

A. Thiazide and loop diuretics interfere with the renal excretion of uric acid. B. Thiazide and loop diuretics interfere with the metabolism of sodium. C. Thiazide and loop diuretics interfere with the synthesis of renin. D. None of these are correct.

Nursing