The nurse is caring for several pregnant clients. Which client should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity?
1. 37-year-old, with a history of multiple births and preterm deliveries who works in a chemical factory
2. 23-year-old of low socioeconomic status, unmarried
3. 16-year-old who began prenatal care at 30 weeks
4. 28-year-old with a history of gestational diabetes
1
Explanation: 1. This client is at greatest risk because she has multiple risk factors: age over 35, high parity, history of preterm birth, and exposure to chemicals that might be toxic.
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The home health nurse developing a plan of care for a patient who will be managing his chronic pain at home should focus the teaching on the concepts of:
A) Self-care and safety B) Autonomy and need C) Health promotion and exercise D) Dependence and health
A nurse is using SBAR and tells the primary health care provider that the abdomen is distended and firm with a pain rating of 8 on a 0-10 scale. Which component of SBAR did the nurse communicate?
a. S b. B c. A d. R
A client is admitted to the labor unit with contractions 1.5–2 minutes apart lasting 60–90 seconds. The client is apprehensive and irritable. This client is most likely in what phase of labor?
1. Active 2. Transition 3. Latent 4. Second
The nurse is instructing a patient with a brain tumor about a scheduled craniotomy. What should the nurse include in this teaching?
Select all that apply. 1. The tumor is excised. 2. The bone is cut between the burr holes. 3. The bone flap is returned to the opening. 4. A series of burr holes is made in the skull. 5. Plastic material is placed over the opening.