The nurse manager is planning a presentation on ethical issues in caring for childbearing families. Which example should the nurse manager include to illustrate maternal-fetal conflict?
1. A client chooses an abortion after her fetus is diagnosed with a genetic anomaly.
2. A 39-year-old nulliparous client undergoes therapeutic insemination.
3. A family of a child with leukemia requests cord-blood banking at this birth.
4. A cesarean delivery of a breech fetus is court ordered after the client refuses.
4
Explanation: 4. Maternal-fetal conflict is a special ethical situation where the rights of the fetus and the rights of the mother are considered separately. Forced cesarean birth, coercion of mothers who practice high-risk behaviors, and, perhaps most controversial, mandating experimental in utero therapy or surgery in an attempt to correct a specific birth defect are interventions that infringe on the mother's autonomy.
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ANS:
You have ordered a CBC for your patient you suspect has polymyalgia rheumatica (PMR). Which two clinical findings are common in patients with PMR?
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The male client complains that his artificial eye is uncomfortable. Which should the nurse implement after removing the prosthesis?
1. Check prosthesis for rough edges. 2. Store in dry container for 24 hours. 3. Rinse the artificial eye with alcohol. 4. Use a 10-ml syringe to irrigate orbit.
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