A family desires genetic testing for their adolescent. What response by the clinic nurse is appropriate?
1. "The child is a minor and cannot give consent."
2. "It is not advisable because insurance does not pay for this test."
3. "Let me discuss this with the adolescent and then we can discuss it more fully."
4. "There is a chance the adolescent might be discriminated against because of the test."
Correct Answer: 3
Rationale: The adolescent is old enough to understand the pros and cons of testing. It would be advisable to discuss the matter with the adolescent and then more fully with the parents. That the minor is not able to give consent is true, but this answer cuts off discussion and is not appropriate. Insurance and discrimination can play a role in the decision, but still are not the appropriate answers because they do not address the issue of the request for testing.
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The nurse is caring for a woman with a placental abruption and suspects the patient has developed disseminated intravascular coagulation (DIC). What interventions does the nurse anticipate?
A. Administering IV fibrinogen B. Performing hourly vaginal exams to assess for cervical dilation C. Performing blood pressure assessments every 4 hours D. Obtaining consent for a cesarean birth
The treatment plan for management of an obstetric patient with peripartum cardiomyopathy includes
a. oxygen therapy, pain management, and preload enhancement. b. walking exercises, diuretics, and anticoagulants. c. diuretics, digoxin, and anticoagulation. d. fluid resuscitation, beta-blockers, and vasoconstrictors.
A major advantage of nonpharmacologic pain management is that:
a. a more rapid labor is likely. b. more complete pain relief is possible. c. the woman remains fully alert at all times. d. there are no side effects or risks to the fetus.