The nurse is working at a clinic for pregnant teens. What issues related to development will the nurse expect to encounter in most of the pregnant patients?
1. Peer pressure to stop using alcohol once pregnancy is diagnosed
2. Contraception failure that resulted in this pregnancy
3. The father of the baby's being emotionally supportive to the patient
4. Feelings of not living up to parents' expectations
4
Rationale 1: Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is peer pressure to engage in substance use.
Rationale 2: Pregnant teens face risk factors based on the developmental tasks of adolescence. These include sexual activity without contraception due to lack of a future orientation.
Rationale 3: Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is sexual activity as experimentation without emotional intimacy.
Rationale 4: Pregnant teens face risk factors based on the developmental tasks of adolescence. One of these is developing an identity. If the adolescent feels she has not lived up to parental expectations by becoming pregnant, she could adopt a negative identity.
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An older male patient reports having blood in the urine. For which health problems does the nurse expect the patient will be evaluated? Standard Text: Select all that apply
1. Pyuria 2. Renal failure 3. Bladder cancer 4. Prostate cancer 5. Urinary tract infection
A patient arrives in the emergency department after being burned in a house fire. The patient's burns cover the face and the left forearm. What percentage of burn does the patient have?
A) 10% B) 25% C) 9% D) 18%
The observation that would require an immediate nursing intervention for a client recently returned to the unit following partial laryngectomy is
a. blood-tinged sputum. b. copious respiratory secretions. c. difficulty swallowing. d. pulsating tracheostomy tube.
The nurse chooses to apply Montgomery ties to secure the dressing over a client's open abdominal wound that is being irrigated and packed every 8 hours. What nursing diagnosis does this intervention specifically support?
What will be an ideal response?