The perinatal nurse caring for Emily, a 24-year-old mother of an infant born at 26 weeks gestation, is providing discharge teaching. Emily is going to travel to the specialty center approximately 200 miles away where her daughter is receiving care
The nurse tells Emily that it is normal for Emily to feel:
Select all answers that apply:
A) In control
B) Anxious
C) Guilty
D) Overwhelmed
B, C, D
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While assessing a client, the nurse observes hives and flushing. The client reports itching and a tightness in the throat. The nurse would identify which of the following nursing diagnoses?
A) Risk for Allergy Response B) Ineffective Tissue Perfusion C) Decreased Cardiac Output D) Risk for Injury
The nurse is teaching a high school health class, and the subject for today is calcium. What would the nurse teach the students to eat to promote the absorption of calcium?
A) Protein B) Fiber C) Lactose D) Fat
An African American client with a history of alcohol dependence is discharged with nutritional recommendations to increase the intake of vitamin B foods and thiamine. The client states, "I can't eat this stuff; this food isn't fit for real people
". Which factor was not incorporated into the plan of care? A) Social environment B) Age C) Lifestyle habits D) Marital status
A young adolescent is transferred to the labor and delivery unit from the emergency department. The patient is in active labor, but did not know she was pregnant. The most important nursing action is to:
1. Determine who might be the father of the baby for paternity testing. 2. Ask the patient what kind of birthing experience she would like to have. 3. Assess blood pressure and check for proteinuria. 4. Obtain a Social Services referral to discuss adoption.