The United States ranks 21st in terms of worldwide infant mortality rates. Which factor has the greatest impact on decreasing the mortality rate of infants?
a. Resolving all language and cultural differences
b. Enrolling pregnant women in the Medicaid program by the eighth month of pregnancy
c. Ensuring early and adequate prenatal care
d. Providing more women's shelters
C
Language and cultural differences are not infant mortality issues but must be addressed to improve overall health care. Medicaid provides health care for poor pregnant women, but the process may take weeks to take effect. The eighth month is too late to apply and receive benefits for this pregnancy. Because preterm infants form the largest category of those needing expensive intensive care, early pregnancy intervention is essential for decreasing infant mortality. The women in shelters have the same difficulties in obtaining health care as other poor people, particularly lack of transportation and inconvenient hours of the clinics.
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A client has been placed in seclusion. Which client behavior would have warranted this intervention?
1. The client is manic, has been flirtatious towards staff and refused morning medication, and has verbalized a plan to leave 2. The client is psychotic, sits in the corner with hands over ears, and displays increased suspiciousness of and agitation towards others despite recently receiving 1mg risperidone (Risperdal) PRN 3. The client is depressed and wants to be left alone to rest 4. The client is suicidal, has been banging head against the table in the day room, and was unresponsive to staff's verbal redirection
Which should the nurse recognize as the secondary need of an individual?
A) Elimination of waste products B) Activity and exercise C) Sexual gratification D) Social needs
Explain any laboratory results that might be of concern
What will be an ideal response?
A dying patient is experiencing copious secretions, difficulty in swallowing, and labored breathing. Which interventions should the nurse carry out? (Select all that apply.)
a. Suction secretions. b. Encourage oral fluids. c. Place a dehumidifier in the room. d. Administer scopolamine as ordered. e. Increase oxygen to 3 L per nasal cannula. f. Place the patient in Fowler's or semi-Fowler's position.