When caring for a 13-year-old client in labor, how would the nurse provide sensitive care? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. Using simple and concrete instructions
2. Providing soothing encouragement and comfort measures
3. Making all decisions for the client when she expresses a feeling of helplessness
4. Deciding whom the client should allow in the room
5. Providing encouragement and support of the client's decisions
1, 2, 5
Explanation: 1. A client at this developmental stage will need concrete and simplified instructions.
2. Touch, soothing encouragement, and measures to promote her comfort help her maintain control and meet her needs for dependence.
5. Establishing rapport without recrimination will provide emotional support and encouragement.
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An adult patient has a history of rheumatic fever. Which of the following medications should be administered as prophylaxis for rheumatic fever?
A) Cyclacillin (Cyclapen) B) Amoxicillin (Augmentin) C) Dicloxacillin D) Penicillin G benzathine (Bicillin LA)
A child with a history of asthma is actively wheezing. Which is the best initial action by the nurse?
1. Call 911 to request emergency medical assistance. 2. Call the child's parents to come and pick up the child. 3. Have the child use his metered-dose inhaler. 4. Have the child lie down to see if the symptoms subside.
The client scheduled for a partial thyroidectomy for hyperthyroidism asks the nurse why she is being given an iodine preparation before surgery. What is the nurse's best response?
A. "To make the surgery as sterile as possible." B. "To stimulate storage of thyroid hormones for use after surgery." C. "To replace the thyroid hormones that will be eliminated as a result of the sur-gery." D. "To decrease the blood vessels in the thyroid and prevent excessive bleeding during surgery."
When managing shock, which statement would be incorrect when comparing the level or classification of shock to the drug treatment?
1. Class I–treated with blood products 2. Class II–treated with isotonic fluids 3. Class III–treated with isotonic fluids and blood products 4. Class IV–treated with blood and fluids