The partner of a patient at 16 weeks' gestation accompanies her to the clinic. The partner tells you that the baby just doesn't seem real to him, and he is having a hard time relating to his partner's fatigue and food aversions
Which statement would be best for the nurse to make? 1. "If you would concentrate harder, you'd be aware of the reality of this pregnancy."
2. "My husband had no problem with this. What was your childhood like?"
3. "You might need professional psychological counseling. Ask your physician."
4. "Many men feel this way. Feeling the baby move will help make it real."
4
Rationale 1: This is inappropriate for the nurse say.
Rationale 2: This is an inappropriate comment for the nurse to make.
Rationale 3: The partner's feelings are not indicative of psychological pathology.
Rationale 4: Ambivalence is common among partners, especially prior to their either seeing the baby on ultrasound or feeling the baby kick and move.
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A patient with a subclavian line complains of shortness of breath after an infusion. The patient is diaphoretic, and the blood pressure is 168/100 mm Hg, higher than a previous reading of 140/86 mm Hg
What should the nurse assess these symptoms as indicating? a. Fluid overload from too rapid an infusion b. Incorrect dilution of the infused drug c. Infection from faulty aseptic technique d. Embolus from introduced air or blood clot
After reporting the client's signs and symptoms of early shock to the physician, the nurse is told that the physician will be ordering a specialist to consult on the case
Which type of specialist is the physician most likely to consult with on this client's care? a. hematologist c. cardiologist b. infectious disease d. respiratory
Which precaution has the highest priority for instruction of the client going home with thrombocytopenia?
A. "Drink at least 3 liters of fluid each day." B. "Avoid flossing your teeth until platelets return to normal." C. "Avoid drinking alcoholic beverages until your CBC is normal." D. "Avoid the use of salt substitutes that contain potassium chloride."
A migrant farmworker presents to the clinic reporting an acute onset of severe abdominal pain, nausea, vomiting, diarrhea, and headache with difficulty concentrating. Which of the following conditions would cause such symptoms?
a. Appendicitis b. Bacterial gastroenteritis c. Pesticide poisoning d. Viral illness