The patient at 18 weeks' gestation thinks she might have been exposed to a toxin at work that could affect fetal development. The patient asks the nurse what organs might be affected at this point in pregnancy
The best response by the nurse is: 1. "The brain is developing now, and could be affected."
2. "Because you are in the second trimester, there is no danger."
3. "The internal organs like the heart and lungs could be impacted."
4. "It's best to not worry about possible problems with your baby."
1
Rationale 1: Maximum brain growth and myelination are occurring at this point in fetal development.
Rationale 2: The fetus at 20 weeks' gestation is still vulnerable to exposure to certain toxins.
Rationale 3: The heart, lungs, and other internal organs form during the embryonic state, or the first 8 weeks of pregnancy.
Rationale 4: Avoid telling patients to not worry. Doing so indicates to the patient that you don't care about their concerns, and will end effective communication.
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The prevention of VTE is an important part of the nursing care of high-risk patients. When providing patient teaching for these high-risk patients, the nurse should advise lifestyle changes, including which of the following? Select all that apply
A) High-protein diet B) Weight loss C) Regular exercise D) Smoking cessation E) Calcium and vitamin D supplementation
What is the most important action for the nurse to take when caring for a patient with obsessive-compulsive disorder (OCD) who is performing a ritual?
1. Don't interrupt the ritual. 2. Teach stress reduction strategies. 3. Interrupt the ritual. 4. Teach patient about the disorder.
An example of a breach of a patient's right to privacy occurred when a nurse
a. released information to the patient's employer without consent. b. documented the patient's daily behaviors during hospitalization. c. discussed the patient's history with other staff during care planning. d. asked a family to share information about a patient's behavior prior to admission.
Vitamin C deficiency causes scurvy, which is characterized by
a. weakening of connective tissues. b. diarrhea, dermatitis, and dementia. c. degeneration of nerves and muscles. d. iron deficiency anemia and weight loss.