The nurse has a question about the appropriateness of an older patient's medication dose. Which of the following professionals would be best qualified to answer such a question?
a) the geropsychologist
b) the geropharmacist
c) the financial gerontologist
d) the gerontological rehabilitation nurse
B
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Felicity is a very busy 29-year-old woman in a professional career. She has diabetes mellitus and is also pregnant for the first time. Explain the potential teratogenic effect of folic acid deficiency on the developing fetus. What other risk factor is not
Because of her busy schedule, it was over 3 weeks after missing her menstrual cycle when she visited her family doctor to have the pregnancy confirmed. Felicity became very concerned when her physician asked if she had been taking folic acid. It was all Felicity could do to remember to manage her insulin levels, and taking folic acid supplements was something she had not even considered. Her doctor told her to take 600 ?g of folic acid daily and advised Felicity to return later for maternal serum marker testing. Explain the potential teratogenic effect of folic acid deficiency on the developing fetus. What other risk factor is noteworthy in Felicity's case? What is the benefit of maternal serum marker testing? What other test would be particularly useful to monitor the development of Felicity's baby in this situation? When is the fetus most vulnerable to the effects of teratogens and why?
A woman who is 4 months pregnant notices frequent heart palpitations and leg cramps. She is anxious to learn how to alleviate these. Which of the following nursing diagnoses would best apply to her?
A) Impaired urinary elimination related to inability to excrete creatine from her muscles B) Risk for ineffective breathing pattern related to pressure of the growing uterus C) Pain related to severe complications of pregnancy D) Health-seeking behaviors related to ways to relieve discomforts of pregnancy
A client with ARF is allowed a specific amount of fluid by mouth during 24 hours in order to
a. compensate for insensible and measured fluid losses during the previous 24 hours. b. equal the expected urine output for the next 24 hours. c. prevent hyperkalemia, which could lead to serious cardiac dysrhythmia. d. prevent the development of complicating hypostatic pneumonia.
A child with cerebral palsy tells the school nurse that he feels all right in his own classroom, but then he is out on the playground, other children stare at him and he does not know what to do about it
The nurse decides to teach the child to use a frontal approach. Which of the following activities would be most helpful to a child learning to use a frontal approach? a. role-play with the nurse, ignoring other people by staring or being rude b. a talk by the nurse on what other children say to stop people from staring c. role-play with the nurse staring and the child asking, "Do you have a question?" d. teaching the child to ask the person what they are staring at