The nurse is teaching a homeless pregnant teenager about prenatal care. Which should the nurse emphasize in the teaching session?
a. The importance of naming the baby
b. Risk factors associated with pregnancy
c. Information about employment opportunities
d. Eating habits that will provide adequate nutrition
ANS: D
Homeless teens are more likely to have poor eating habits, smoke, and have greater risks for preterm labor, anemia, and hypertension during pregnancy and to deliver a low-birth-weight (LBW) infant. Teaching about proper eating habits is the priority at this time. Naming the baby, risk factors associated with pregnancy, and information about employment are not the highest priorities to teach at this time.
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To assess the breast for discharge and protraction of the nipple, you would place
a. the fingertips of both hands on each side of the breast and press gently. b. one hand under the breast for support and gently press with the fingers of your other hand from the outer edge of the areola toward the nipple. c. your thumb and forefinger on the areola and press inward. d. your thumb and forefinger on the nipple and gently squeeze.
What is a factor that may lead nurses to become disengaged in their careers?
A) Nurses don't feel they have careers. B) Boredom and job indifference increase with time on the same job. C) Many nurses begin their nursing career in midlife or interrupt their careers for childrearing. D) There is no identifiable factor influencing job disengagement.
A client states, "I am an obese, compulsive person." The nurse demonstrates how to conduct a perceptual check when stating which of the following?
a. "Can you tell me more about this?" b. "Is it difficult for you to be this way?" c. "I wouldn't worry about being very neat." d. "It is okay to be this way; you are not hurting anyone."
A nurse caring for a school-age client notices some swelling in the child's ankles. The nurse presses against the ankle bone for five seconds, then releases the pressure and notices a markedly slow disappearance of the indentation
Which priority nursing assessment is appropriate? 1. Skin integrity, especially in the lower extremities 2. Urine output 3. Level of consciousness 4. Range of motion and ankle mobility