A student nurse is assigned to care for a pregnant woman with a history of heroin abuse. The instructor quizzes the students on the harmful effects demonstrated by a newborn when the mother has a history of heroin use
The instructor would recognize that further teaching is needed if the student responded that which of the following is an effect? (Select all that apply.) a. Sneezing d. Seizures
b. Blindness e. Vomiting
c. Irritability f. Constipation
B, F
Further teaching is needed if the student responded blindness and constipation. The most common harmful effect of heroin on newborns is withdrawal which can include such symptoms as sneezing, vomiting, diarrhea, irritability, and seizures.
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Which of the following is/are an appropriate goal(s) for a patient with urinary incontinence? Choose all that apply
1) Increase the intake of citrus fruits. 2) Increase daily oral fluids to 8 to 10 glasses per day. 3) Limit daily caffeine intake to less than 100 mg. 4) Engage in high-impact, aerobic exercise.
A 25-year-old patient with sickle cell disease says, "My sister is having a baby. I can't wait until I have kids of my own." Which nursing response is indicated?
1. "You should use barrier protection until you are ready to have a child." 2. "Have you thought about adopting children?" 3. "Genetic counseling will be important for you and your partner." 4. "I hope that infertility does not cause problems for you."
The student nurse studying bowel elimination learns that the following statements accurately describe the process of peristalsis. Select all that apply
A) The sympathetic nervous system stimulates movement. B) The autonomic nervous system innervates the muscles of the colon. C) Peristalsis occurs every 3 to 12 minutes. D) Mass peristaltic sweeps occur one to four times each 24-hour period in most people. E) Mass peristalsis often occurs after food has been ingested. F) One-third to one-half of ingested food waste is normally excreted in the stool within 48 hours.
A nurse whose practice is guided by Peplau's theory would judge that care objectives had been met when the patient
a. assists in setting goals that they work together to meet. b. has mastered all tasks and knowledge needed for self-care. c. is able to adapt to limitations and alter ways of doing activities of daily living (ADLs). d. understands the effects of stress in exacerbating illness.