The client at 20 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development. The client asks the nurse what organs might be affected at this point in pregnancy. What is the nurse's best response?
1. "The brain is developing now, and could be affected."
2. "Because you are in the second trimester, there is no danger."
3. "The internal organs like the heart and lungs could be impacted."
4. "It's best to not worry about possible problems with your baby."
1
Explanation: 1. Maximum brain growth and myelination are occurring at this point in fetal development.
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The nurse is assessing a client's current progress in the nurse–client relationship. Which of the following behaviors would indicate to the nurse that the client is beginning the termination phase of the nurse–client relationship?
1. The client verbalizes willingness to change ineffective coping patterns and self-defeating behaviors. 2. The client expresses awareness of potential causes of dysfunctional behavioral patterns. 3. The client uses effective problem-solving strategies on a daily basis. 4. The client requests clarification of the roles and responsibilities in relationship work.
The nurse is caring for a client diagnosed with discoid lupus erythematosus. The nurse is collaborating with the client to set goals for the nursing plan of care. Which is an appropriate goal for this client?
A) Work through the stages of death and dying. B) Compliance with a sun protection plan. C) Gain weight to within 10 pounds of normal for height. D) Report pain no higher than 4 on a scale of 1-10.
"QSEN" refers to:
a. Qualitative Standardized Excellence in Nursing b. Quality and Safety Education for Nurses c. Quantitative Effectiveness in Nursing d. Quick Standards Essential for Nurses
A patient makes an appointment to see the primary healthcare provider because during a routine eye examination the ophthalmologist asked how long the patient had been treated for hypertension. What did the ophthalmologist observe that caused the health problem of hypertension to be discussed? Select all that apply.
A. Astigmatism B. Papilledema C. Retinal hemorrhages D. Retinal exudates E. Nystagmus