A woman gave birth last week to a fetus at 18 weeks' gestation after her first pregnancy. She is in the clinic for follow-up, and notices that her chart states she has had one abortion. The patient is upset over the use of this word
How can the nurse best explain this terminology to the patient? 1. "Abortion is the medical term for all pregnancies that end before 20 weeks."
2. "Abortion is the word we use when someone has miscarried."
3. "Abortion is how we label babies born in the second trimester."
4. "Abortion is what we call all babies who are born dead."
1
Rationale 1: Abortions are fetal losses prior to the onset of the third trimester, and include elective induced (medical or surgical) abortions, ectopic pregnancies, and spontaneous abortions or miscarriages.
Rationale 2: This explanation is only partially correct.
Rationale 3: This explanation is only partially correct.
Rationale 4: This is not a true statement.
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A patient on the unit has a deep decubitus ulcer. The family asks why the nurse debrides the ulcer and removes the dead cells. What is the nurse's best response to explain to the family why debridement is performed?
A) The lysosomes released by the dead cells in the area continue to kill other cells, destroying more tissue. B) The dead cells no longer contain histocompatible antigens causing a greater inflammatory response. C) Removing dead tissue forces oxygen to enter the damaged cells to regenerate them and to promote healing. D) The doctor ordered the procedure to be performed so it is done the way it is ordered because orders are always followed.
A patient with a history of chronic liver disease is admitted with acute hemorrhage from esophageal varices. The nurse would expect treatment interventions for which causative condition?
1. The patient has developed gallstones as a result of poor liver function. 2. The patient has portal hypertension with shunting of blood. 3. The nonsteroidal anti-inflammatory drug (NSAID) use that caused the patient's chronic liver failure has also resulted in gastritis. 4. The abdominal distention caused by ascites has resulted in reflux esophagitis.
What concept is servant leadership based upon?
A) Trusting and valuing employees B) Genuinely liking your colleagues C) A laissez-faire style of leadership D) A dynamic leadership charisma
A prenatal patient at 35 weeks’ gestation is scheduled for an amniocentesis to determine fetal lung maturity. The nurse expects the lecithin/sphingomyelin (L/S) ratio to be:
1. 0.5:1 2. 1:1 3. 2:1 4. 3:1