The nurse is caring for a 15-year-old client that gave birth to her first child yesterday. What action is the best indicator that the nurse understands the parenting adolescent?
1. The client's mother is included in all discussions and demonstrations.
2. The father of the baby is encouraged to change a diaper and give a bottle.
3. The nurse explains the characteristics and cues of the baby when assessing it.
4. A discussion on contraceptive methods is the first topic of teaching.
3
Rationale:
1. Although the parents of adolescents are often involved with child care and childrearing, this action is only appropriate if the client desires to have her mother present for teaching and discussions.
2. Involvement of the father is important, but having the mother learn more about her new baby and what the behavior cues are is a higher priority.
3. This helps the client learn about her baby and understand him as an individual, and facilitates maternal–infant attachment. This is the highest priority.
4. Young teens are statistically more likely to have another child during their adolescence, but establishing a rapport and facilitating understanding of and attachment to the newborn is a higher priority.
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The patient's temperature has reached 103.4° F. The nurse prepares to draw a blood culture before giving the patient an antipyretic medication. What is the best reason to draw a blood culture before giving an antipyretic medication?
a. The causative organism is most prevalent during a spike in temperature. b. Elevated temperatures slow metabolic rate and improve blood oxygenation. c. Increased blood flow leads to moist mucous membranes making blood draws easier. d. Venous distention is greater because of fluid retention secondary to hyperthermia.
A nurse working in an ambulatory care surgery center is preparing to discharge a postoperative patient. The nurse knows that the convalescence period will occur:
a. 1 to 2 hours after surgery. b. at home. c. once the patient has been monitored overnight in the hospital. d. 2 to 4 hours after surgery.
Results from which two procedures complement each other in the preoperative evaluation of the carotid arteries?
a. Ultrasound Doppler and magnetic resonance angiography b. Conventional angiography and evoked potential c. CT and magnetic resonance angiography d. Transcranial Doppler and extracranial Doppler
The nurse is caring for a patient who had a cesarean birth 4 hours ago. Which interventions would the nurse implement at this time? Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Administer analgesics as needed. 2. Encourage the patient to ambulate to the bathroom to void. 3. Encourage leg exercises every 2 hours. 4. Encourage the patient to cough and deep-breathe every 2–4 hours. 5. Encourage the use of breathing, relaxation, and distraction.