The nurse developing a care plan for a pregnant teen knows that what plan is best suited to pregnant teens?
1. Assess menstrual history and the presence of any food allergies.
2. Inquire about family relationships and location of the home.
3. Ask what her body image is, then correct her misconceptions.
4. Determine whether there are substance abuse issues.
4
Explanation: 4. Substance abuse issues are important to assess during pregnancy of teens.
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The nurse is planning care for client who weighs70 kg client and is post-op day 1 after spinal fusion surgery. Which is an appropriate outcome for this client?
A) The client will remain prone position. B) The client will maintain urine output at 20 ml per hour. C) The client will use the incentive spirometer every 2 hours. D) The client will void 12 hours after surgery.
Which of the following should be included in the nurse's preadministration assessment of a client about to receive adrenocorticotropic hormone (ACTH)? Select all that apply
A) Lung auscultation B) Mental status assessment C) Height D) Pulse E) Skin integrity assessment
During a sleep study, a delta rhythm has been recorded for a client experiencing sleep apnea. The nurse recognizes that which characteristic is associated with this rhythm, and what stage of sleep activity would be documented?
A. Delta rhythm is a period of dozing, occurring in stage 1 of sleep activity. B. Delta rhythm is a period of deep and restful sleep, occurring in stage 3 of sleep activity. C. Delta rhythm is a period of relaxed waking, occurring in stage 0 of sleep activity. D. Delta rhythm is a period of dreaming, occurring in stage 2 of sleep activity.
A client's quality of life is decreasing as a result of uncontrolled diabetes. Which of the following types of loss is the client experiencing?
A) Anticipatory B) Unexpected C) Gradual D) Sudden