The pregnant patient has asked the nurse what kinds of medications cause birth defects. Which statement would best answer this question?
1. "Birth defects are very rare. Don't worry; your doctor will watch for problems."
2. "To be safe, don't take any medication without talking to your doctor."
3. "Too much vitamin C is one of the most common issues."
4. "Almost all medications will cause birth defects in the first trimester."
2
Rationale 1: The nurse should avoid a "don't worry" answer to ensure therapeutic communication, but it is appropriate to instruct the patient to talk to the doctor about medications.
Rationale 2: The nurse should advise the patient to talk to her healthcare provider. Those medications with clear evidence of teratogenicity are classified in pregnancy category X, and should be avoided when conception is being attempted and during the first trimester.
Rationale 3: Vitamin C can cause rebound scurvy, but is not teratogenic.
Rationale 4: Not all medications are teratogenic.
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The nurse assesses that a newborn's skin has a ruddy appearance, and the peripheral pulses are decreased. The nurse suspects polycythemia. Which of the following lab reports might indicate polycythemia?
1. Venous hemoglobin level higher than 26 g/dL 2. Bilirubin level of 6 mg/dL 3. Venous hemoglobin level lower than 12 g/dL 4. Blood glucose level of 44 mg/dL
Which statement is true of a multiaxial joint?
a. It is an example of a hinge joint. b. It provides angular movement in one axis and one plane. c. It is the wrist between the distal radius and carpals. d. It is also called a ball-and-socket joint.
An elderly client was given a nursing diagnosis of injury, risk for: related to disorientation. Which statement would be appropriate for an expected outcome? The client
A) maintains continence on four out of five voidings. B) does not become lost or sustain injury during wanderings. C) sleeps through the night and stays awake most of the day. D) receives appropriate care consistent with his or her and family specific values and expected outcomes.
A registered nurse who provides care in a subacute setting is responsible for overseeing and delegating to unlicensed assistive personnel (UAP). Which of the following principles should the nurse follow when delegating to UAP? Select all that apply
A) Ensure that UAPs closely follow the nursing process when providing care. B) Audit the client documentation that UAPs record after they perform interventions. C) Take frequent mini-reports from UAPs to ensure changes in client status are identified. D) Know what clinical cues the UAP should be alert for and why. E) Make frequent walking rounds to assess clients.