During a prenatal visit, the pregnant mother asks the nurse if she should have her baby's cord blood collected and stored. The best response by the nurse would be:
1. "If I were pregnant, I would certainly bank by baby's cord blood."
2. "You wonder if you should have your baby's cord blood banked?"
3. "Let's discuss the pros and cons of cord blood banking."
4. "What does the baby's father think about cord blood banking?"
3
Rationale 1: It is inappropriate for the nurse to discuss her own decision about cord blood storage.
Rationale 2: This is a reflective answer used to get at the mother's emotions. This is not an emotional situation. The mother is asking for information.
Rationale 3: By starting the conversation with this statement, you are providing her with information so she can make an informed decision.
Rationale 4: While this may be brought into the discussion, it is not the best answer.
Global Rationale:
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The nurse is preparing to administer a prescribed drug to help prevent hemorrhage caused by uterine atony. Which drug would the nurse most likely administer? Select all that apply
A) Carboprost (Hemabate) B) Indomethacin (Indocin) C) Methylergonovine (Methergine) D) Terbutaline (Brethine) E) Misoprostol (Cytotec)
A client had a cardiac transplant 6 weeks previously. The client calls the clinic and informs the nurse he has a fever of 101° F, chest tenderness, and flulike symptoms. What does the nurse suspect the client is experiencing?
A) Hyperacute rejection B) Acute rejection C) Chronic rejection D) Subacute rejection
The care plan states that you are to use hand-over-hand technique for Mrs. Lee at mealtime. You know this means
A) teach Mrs. Lee to put one hand on top of the other when eating. B) have Mrs. Lee use both hands to prepare her food. C) place your hand over Mrs. Lee's hand when feeding. D) place your hand under Mrs. Lee's hand when feeding.
A patient with a sleep-wake disorder reports drinking a couple glasses of wine before bed to get sleepy. What is the best response by the nurse?
1. "That's a reasonable thing to do if it makes you sleepy at bedtime." 2. "If that works for you, try to drink red wine for the antioxidant benefit." 3. "If you drink wine to go to sleep, make sure you don't take it with medication." 4. "Alcohol might make you sleepy, but it contributes to waking later in the night."