The adolescent client reports to the clinic nurse that her period is late, but that her home pregnancy test is negative. How should the nurse explain what these findings most likely indicate?
1. "This means you are not pregnant."
2. "You might be pregnant, but it might be too early for your home test to be accurate."
3. "We don't trust home tests. Come to the clinic for a blood test."
4. "Most people don't use the tests correctly. Did you read the instructions?"
2
Rationale:
1. Although this might be true, this is not the best statement, because the pregnancy might be too early for a urine pregnancy test to detect.
2. This is a true statement. Most home pregnancy tests have low false positive rates, but the false negative rate is slightly higher. Repeating the test in a week is recommended.
3. This statement is not therapeutically worded. Additionally, this statement is not true because home pregnancy tests are quite simple to use and quite accurate. A clinic pregnancy test is usually a urine test. Blood tests are more invasive and more expensive.
4. Although this statement gets at the need to read the instructions for the test, it is not therapeutically worded.
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The nurse is planning to provide empathetic care to a client. Which statement by the nurse would best convey empathy?
a. I am sorry you have to be hospitalized. b. I understand how you feel. c. How do you feel about being in the hospital? d. It must be difficult to be in the hospital.
After completing the interview process, the nurse analyzes the data collected in order to?
A) Establish a baseline from which to start interviewing the family B) Develop nursing interventions C) Communicate information to the physician D) Communicate information to other staff members
A nurse is educating a preoperative client on how to effectively deep breathe. Which of the following would be included?
A) "Make each breath deep enough to move the bottom ribs." B) "Breathe through the mouth when you inhale and exhale." C) "Breathe in through the mouth and out through the nose." D) "Practice deep breathing at least once each week."
The type of enema that is usually ordered for an infant is:
A. Tap water B. Hypertonic C. Oil retention D. Physiological normal saline