The nurse is caring for a pregnant woman who admits to cocaine and ecstasy use on a regular basis
The client states, "Everybody knows that alcohol is bad during pregnancy, but what's the big deal about ecstasy?" The best response by the nurse is: "Ecstasy: 1. "Can cause a high fever in you and therefore cause the baby harm."
2. "Leads to deficiencies of thiamine and folic acid, which help the baby develop."
3. "Produces babies with small heads and short bodies with brain function alterations."
4. "Produces intrauterine growth restriction and meconium aspiration."
1
Rationale:
1. High body temperature is a side effect of MDMA (ecstasy). Increased body temperature increases fetal oxygen needs, which can lead to hypoxia and subsequent brain and major organ damage.
2. Alcohol, not ecstasy, causes deficiencies of thiamine and folic acid. Folic acid helps prevent neural tube defects.
3. Cocaine causes these fetal effects, not ecstasy.
4. Heroin causes these fetal effects, not ecstasy.
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In any health care system there is the potential for illegal and unethical activity. Which of the following are activities documented to have occurred in the past? Select all that apply
1. Inappropriate use of home health services 2. Inaccurate billing for services 3. Excessive administrative staff 4. "Kick-backs" for referrals
When evaluating a client's nutritional status, the nurse identifies a positive sign as:
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A nurse is teaching patients about their medications and implications for sexuality. Which combinations are correct? (Select all that apply.)
a. Antipsychotics: Erectile dysfunction b. Phenytoin: Decreased desire c. Antihistamines: Increased vaginal lubrication d. SSRIs: Prolonged orgasm e. Marijuana: Chronic useâ€"reduced inhibitions
When examining a patient who has undergone a mastectomy, the nurse should do which of the following? Select all that apply
a. Always begin the examination on the unaffected breast. b. Inspect the scar(s) for swelling, lumps, thickening, redness, rash, or irritation. c. Use two finger pads to palpate the surgical scar. d. Perform large, circular motions when palpating the area. e. Examine the area for swelling, lumps, thickening, or tenderness. f. Instruct the patient to perform annual breast self-examinations to determine if masses have returned to the excised area.