The 20-year-old client at ten weeks' gestation is preparing for her first prenatal visit. She confides, "This pregnancy was unplanned. I'm not sure if I want to be pregnant or not. I haven't even told my boyfriend I'm pregnant
And I haven't decided if I'm going to continue the pregnancy." Which of the following statements should the nurse make next? A. "It's really unusual for a pregnant woman to feel this way early in the pregnancy."
B. "These thoughts are because your mother died when you were four years old."
C. "You should go to a pregnancy support group to be a good mother."
D. "It's common to feel ambiguous about pregnancy in the first trimester."
D
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When performing a gastric lavage on your patient, the patient should be positioned in a
A) supine position. B) left lateral decubitus position. C) right Sims' position. D) semi-Fowler's position.
Diagnostic peritoneal lavage (DPL) has been ordered for a patient who has suffered abdominal injuries in a farm accident. When explaining this procedure to the patient, what information should the nurse provide?
A) "You'll have some fluid injected into your abdomen and then it will be withdrawn to see if the same amount is returned." B) "You'll have fluid injected into your abdomen and then you'll be monitored to see if it comes out in your urine or when you have a bowel movement." C) "Fluid will be put into your abdomen and then pulled out and examined to see if blood or gastrointestinal contents are present." D) "Fluid will be put into your abdomen and removed. This will be repeated several times in order to flush out your abdominal space."
Mr. J is a 59-year-old African American who has poorly controlled hypertension. When reviewing his diet journal and blood pressure log (BP), you notice that on days that his BP is elevated his diet has usually included food high in:
1. Sodium. 2. Protein. 3. Fats. 4. Fiber.
A nurse leader in a medical-surgical unit overhears the nursing staff openly discussing a client and stating that the client is "uncooperative and a real pain to care for." The nurse leader would most appropriately manage this issue by:
A. Discouraging the judgmental comments B. Ignoring the comments made about the client C. Reporting the nurses' comments to administration D. Leaving articles about judgmental opinions in the nurses' report room