The client has undergone an ultrasound, which estimated fetal weight at 4500 g (9 pounds 14 ounces). Which statement indicates that additional teaching is needed?
1. "Because my baby is big, I am at risk for excessive bleeding after delivery."
2. "Because my baby is big, his blood sugars could be high after he is born."
3. "Because my baby is big, my perineum could experience trauma during the birth."
4. "Because my baby is big, his shoulders could get stuck and a collarbone broken."
2
Explanation: 2. Hypoglycemia, not hyperglycemia, is a potential complication experienced by a macrosomic fetus.
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A 55-year-old man has been diagnosed with coronary artery disease and begun antiplatelet therapy. The man has asked the nurse why he is not taking a "blood thinner like warfarin
" What is the most likely rationale for the clinician's use of an antiplatelet agent rather than an anticoagulant? A) Antiplatelet agents do not require the man to undergo frequent blood work; anticoagulants require constant blood work to ensure safety. B) Antiplatelet agents are more effective against arterial thrombosis; anticoagulants are more effective against venous thrombosis. C) Antiplatelet agents are most effective in large vessels; anticoagulants are most effective in the small vessels of the peripheral circulation. D) Antiplatelet agents have fewer adverse effects than anticoagulants.
Identify the statement made by the nurse during the discharge instructions to a client with a hiatal hernia that best aids in the prevention of gastrointestinal discomfort
a. You may eat three large meals a day but limit carbohydrate intake. b. If you lie down right after you eat, the food will digest more thoroughly. c. Try to eat six bland small meals per day that are high in fiber. d. Drinking two to three glasses of water with each meal will prevent reflux.
Which drug administration route is most likely to result in reduced drug bioavailability?
a. Enteral b. Intravenous c. Transdermal d. Subcutaneous
Define closed head injury