The nurse is presenting a class of important "dos and don'ts" during pregnancy, including travel considerations. What method of travel does the nurse recommend as most appropriate for a patient in her 25th week of pregnancy?

1. Automobile
2. Airplane
3. Train
4. None; this patient should not travel.


3
Rationale 1: If traveling by car, frequent stopping and walking for a few minutes would be acceptable.
Rationale 2: Plane travel is not the best, but if the patient gets up often on trip, walks, and does not cross her legs, it would work for short trips.
Rationale 3: In the latter half of pregnancy, frequent movement is recommended for pregnant women, both to increase comfort and to decrease venous pooling, which can lead to thrombophlebitis. The train allows the most movement for the traveling pregnant woman.
Rationale 4: Travel, in moderation is appropriate during the second half of pregnancy. It is best if the patient can move about periodically.

Nursing

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A patient who is due to begin treatment with a chemotherapeutic agent has questions regarding the drug's action. The health care provider explains to the patient that the majority of drugs are thought to act through which of the following mechanisms?

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