A woman is 4 weeks pregnant. The primary care NP sees her for her first prenatal visit and obtains a rubella titer, which is negative. The woman tells the NP that she drinks 2 cups of coffee and smokes 3 to 5 cigarettes each day
She denies alcohol use. The NP should: a. administer rubella vaccine.
b. provide smoking cessation information.
c. counsel her to avoid caffeine while pregnant.
d. reassure her that her habits are not likely to cause harm.
B
Each cigarette smoked decreases maternal blood pressure for up to 15 minutes and decreases uteroplacental perfusion. The NP should encourage the woman to quit smoking. Rubella vaccine should be given after the baby is delivered because rubella vaccine is a live virus, with severe teratogenic effects. There is no conclusive evidence that women who are pregnant should avoid caffeine completely. Her habits, although not severe, are not harmless.
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A client diagnosed with schizophrenia refuses to take medication, citing the right of autonomy. Under which circumstance would a nurse have the right to medicate the client against the client's wishes?
1. A client makes inappropriate sexual innuendos to a staff member. 2. A client constantly demands attention from the nurse by begging, "Help me get better." 3. A client physically attacks another client after being confronted in group therapy. 4. A client refuses to bathe or perform hygienic activities.
When entering a client's room, the nurse notices the client standing while wringing her hands and wearing street clothes over pajamas. On further examination, it is noted that the client is hyperventilating with elevated vital signs
Which level of anxiety is the client experiencing? a. Mild b. Moderate c. Severe d. Panic
Nurses are responsible for delivering safe appropriate care. If a patient is erroneously accessed for a prothrombin time instead of his roommate, the nurse is obligated to do which of the following?
a. Call the physician. b. Complete an incident report. c. Notify the nurse manager. d. Notify risk management.
A nurse is reading a research study that is based on Martha Rogers' Science of Unitary Being model. The nurse notices that Rogers is not listed in the article references. How should the nurse interpret this finding?
1. This is likely a simple error of omission in the reference. 2. The researcher erroneously identified Martha Rogers as the developer of that model. 3. The researcher used secondary sources to learn about Rogers' theory. 4. Since Martha Rogers is no longer living, it is not necessary to include her in the reference list.