The nurse is teaching an early pregnancy class for clients in the first trimester of pregnancy. Which statement by a client requires immediate intervention by the nurse?
1. "When my nausea is bad, I will drink some ginger tea."
2. "The fatigue I am experiencing will improve in the second trimester."
3. "It is normal for my vaginal discharge to be green."
4. "I will urinate less often during the middle of my pregnancy."
3
Explanation: 3. Increased whitish vaginal discharge, called leukorrhea, is common in pregnancy. Green discharge is not a normal finding, and indicates a vaginal infection.
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A client with pulmonary edema is receiving intravenous nitroglycerin. The spouse becomes upset and says "Nobody told me my spouse had a heart attack!" The best response by the nurse is to say "The nitroglycerin
a. can prevent a heart attack brought on by the stress to the heart." b. helps get rid of extra fluid in the body." c. helps the heart to not work so hard." d. treats the chest pain that goes along with pulmonary edema."
The mother of a 14-year-old boy is concerned that her son may have anorexia nervosa
Which statements by the mother would the nurse evaluate as supporting this concern? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "His whole focus in life is on improving his marathon time.". 2. "He complains of being hot all the time.". 3. "He is losing his hair.". 4. "He has lost 5 pounds since he started football practice.". 5. "He seems so skinny and weak.".
The nurse is using therapeutic communication techniques when counseling residents of an assisted-living facility. Which of the following is a recommended guideline for this process?
A) Allow the client to speak without actively participating in the conversation. B) Stand up when speaking to demonstrate interest and respect. C) Do not engage a client with speaking difficulties in a conversation. D) Place older clients in double rooms to encourage social interaction.
Which of the following nursing interventions would be appropriate when a nurse is working with a multiproblem family? (Select all that apply.)
a. Assuring the family that the nurse will be there to help them with their problems b. Describing how one person's thoughts and behaviors affect another family member c. Expressing the nurse's own feelings about the family and its situation d. Giving feedback on emotions and behavior and distinguishing between them e. Role-modeling circular communication with adequate ambiguity and vagueness f. Working toward small but achievable success in small areas