The client is carrying monochorionic-monoamniotic twins. The nurse teaches the client what this is, and the implications of this finding. The nurse knows that teaching is successful when the client states which of the following?
1. "My babies came from two eggs."
2. "About two thirds of twins have this amniotic sac formation."
3. "My use of a fertility drug led to this issue."
4. "My babies have a lower chance of surviving to term than fraternal twins do."
4
Explanation: 4. Monochorionic-monoamniotic twins are both in one amniotic sac. There is an increased risk of umbilical cords becoming tangled or knotted and a higher incidence of fetal demise.
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After teaching a client with diverticular disease, a nurse assesses the client's understanding. Which menu selection made by the client indicates the client correctly understood the teaching?
a. Roasted chicken with rice pilaf and a cup of coffee with cream b. Spaghetti with meat sauce, a fresh fruit cup, and hot tea c. Garden salad with a cup of bean soup and a glass of low-fat milk d. Baked fish with steamed carrots and a glass of apple juice
A nurse administrator is at a meeting with nurses on the quality council. Several new members are sitting on the council. They ask the nurse administrator to clarify what a nursing-sensitive outcome is
Which response by the nurse administrator best defines nursing-sensitive outcomes? a. "Nursing-sensitive outcomes determine the patient's progress as a result of prescribed treatments, such as medications." b. "Patient falls is an example of a nursing-sensitive outcome because they are directly affected by nursing interventions." c. "Nursing-sensitive outcomes promote universal health care." d. "We use nursing-sensitive outcomes at this hospital to evaluate nursing tasks and to determine safe staffing ratios."
A patient who has parkinsonism has been taking carbidopa-levodopa and has shown improvement in symptoms but develops dystonic movements, nausea, and vomiting
Which medication will the nurse expect the provider to order for this patient to replace carbidopa-levodopa? a. Amantadine HCl (Symmetrel) b. Benztropine (Cogentin) c. Bromocriptine mesylate (Parlodel) d. Tacrine (Cognex)
Used in lieu of principal diagnosis
What will be an ideal response?