The nurse assesses her client to have mild anxiety concerning the birth process. The client states that she is not interested in Lamaze classes because she is single, and does not want to have natural childbirth
The nurse's best response would be: 1. "Lamaze classes promise painless childbirth. If you learn their methods, your pain is minimal."
2. "Lamaze classes can teach you relaxation methods, and also the benefits and risks of pain-relief methods. This assists you in making the best decision for you."
3. "You are very nervous. I think these classes would be best for you."
4. "Lamaze classes are geared toward couples. You might want to find a different class."
2
Rationale:
1. This choice is inappropriate because even with Lamaze, there could be some pain.
2. Lamaze teaches relaxation methods by utilizing patterned breathing. Those who are able to use the method require little if any anesthesia during delivery. The other choices are inappropriate.
3. Telling a client that she is nervous is not a reason to take the class. It would be better to encourage the client to take the class so she will be knowledgeable on the birth experience and it could reduce any anxiety she may have about the experience.
4. Lamaze classes are geared toward teaching about the breathing and relaxation during childbirth and often has single parents or non-couple participants.
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During the nurse's assessment of a clinic patient, the patient asks if it is important to read OTC medication instructions. The nurse Answer:
1. "It's alright if you don't read the instructions, because the drugs are safer." 2. "Chemicals in the product might pose a risk." 3. "There isn't much for you to read on these OTC product labels." 4. "Reading isn't important if the product is purchased from a pharmacy."
When a patient is receiving a second-generation antipsychotic drug, such as risperidone (Risperdal), the nurse will monitor for which therapeutic effect?
a. Fewer panic attacks b. Decreased paranoia and delusions c. Decreased feeling of hopelessness d. Improved tardive dyskinesia
The patient is receiving an oral antibiotic as treatment for cellulitis of the lower extremity. The patient's outcome is "Patient will state a key point about antibiotic treatment for cellulitis."
Which statement by the patient provides the best evaluation by the nurse at this time? 1. "If the pain gets too bad, I can take my prescribed pain medication." 2. "If the swelling continues, I can apply an ice pack." 3. "I need to take all the pills even if my leg looks better." 4. "I must keep my leg elevated until the swelling goes down."
A client with Parkinson's disease asks the nurse how his or her prescriptions will help him or her. Which response should the nurse provide?
A. "The prescriptions will help prevent muscle wasting." B. "The prescriptions will increase your appetite and energy." C. "The prescriptions will balance serotonin and acetylcholine in your brain." D. "The prescriptions will help you to eat and walk."