A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used heroin
The nurse should formulate the nursing diagnosis recognizing that the woman is at increased risk for which of the following? 1. Erythroblastosis fetalis
2. Diabetes mellitus
3. Abruptio placentae
4. Pregnancy-induced hypertension
4. Pregnancy-induced hypertension
Rationale:
Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension (or pre-eclampsia). Erythroblastosis fetalis is secondary to physiological blood disorders such as Rh incompatibility. Diabetes is an endocrine disorder that is unrelated to drug use and abuse. Abruptio placentae is seen more commonly with cocaine and crack use.
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A nurse educator is teaching a group of nursing students about the American Nurses Association (ANA) Code of Ethics for professional nurses. Which student nurse response describes the ANA code of ethics?
A) "It alleviates suffering for those cared for by professional nurses." B) "It provides standards for professional nursing practice." C) "It reflects legal judgments in professional nursing practice." D) "It serves as legal standards for professional nursing practice."
A college football player is brought to the emergency room by paramedics after a blunt trauma injury received during game. There is a high suspicion that the patient has sustained an injury to his kidneys from being tackled from behind
The emergency room nurse caring for the patient reviews the initial orders written by the health care provider and notes that an order has been written to collect all voided urine and send it to the laboratory for analysis. The nurse understands that this nursing intervention is important because: A) Hematuria is the most common manifestation of renal trauma, and blood losses may be microscopic, so laboratory analysis is essential. B) Intake and output calculations are essential, and the laboratory will calculate the precise urine output produced by this patient. C) A creatinine clearance study may be ordered at a later time, and the laboratory will hold all urine until it is determined if the test will be necessary. D) There is great concern about electrolyte imbalances, and the laboratory will monitor the urine for sodium concentrations.
An adult says, "I take vitamins B and E to prevent AD, but these vitamins are so expensive." Select the nurse's most informative response
a. "Yes, these vitamins are very expensive, but it is money well spent to prevent AD." b. "There is conflicting research evidence about effectiveness of these vitamins for prevention of AD." c. "Most researchers now believe that preventing anemia is more important than taking vitamins to prevent AD." d. "Aspirin is much cheaper. You should take it instead if you want to prevent AD."
In a junctional rhythm viewed in lead II, where is the location of the P wave on the ECG if atrial and ventricular depolarization occur simultaneously?
a. Before the QRS complex b. During the QRS complex c. After the QRS complex