The postpartum nurse is planning discharge teaching for the postpartum mother, who has two other children at home. What is the best way to provide instruction to this patient?
1. Provide all information while discharging the patient.
2. Provide written discharge material only.
3. No teaching is required, as this is not the patient's first postpartum experience.
4. Deliver information a little at a time and repeat it until discharge.
4
Rationale 1: Providing all information at one time is not the best way to teach.
Rationale 2: Providing only written instruction is not the best way to teach.
Rationale 3: Discharge teaching is always done, regardless of how many children the patient has had.
Rationale 4: Information should be delivered a little at a time and repeated to make sure that the parents understand what the nurse has discussed with them.
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An adolescent with type 1 diabetes mellitus is hospitalized for the third time in 1 year with an infection. Which laboratory value would provide the nurse the most important information?
A. Albumen: 4 g/dL B. Fasting blood sugar: 99 mg/dL C. Hemoglobin A1C: 9.8% D. White blood count: 15,000/mm3
A nurse is caring for a patient who has been diagnosed with dementia due to Parkinson disease. The patient has never heard of Parkinson disease and asks what causes it. What will the nurse explain is the etiology of this disorder?
1. Death of neurons 2. Presence of Lewy bodies 3. Inheritance of a dominant gene 4. Presence of an infectious process
The nurse is planning a refeeding program for a patient diagnosed with cachexia from AIDS. Which nursing interventions are indicated?
1. Encourage the patient to eat as much as possible during each meal. 2. Initiate feeding as half of goal rate. 3. Limit the patient's intake of fluids so to encourage a normal appetite. 4. Establish baseline phosphorus, potassium, and magnesium levels.
During a community screening event, the nurse would identify that the client at highest risk for development of laryngeal cancer is
a. a 30-year-old man who smokes one pack of cigarettes per day. b. a 60-year-old woman who smokes occasionally and is easily fatigued. c. a 70-year-old man with a 40-year history of alcohol use and heavy smoking. d. an 80-year-old man who has a very high intake of caffeinated beverages.