A nurse manager in a women's clinic is meeting with the staff to discuss assessment of substance abuse among pregnant clients. What would the group typically assess as the most frequently abused substance by pregnant women?
1. Caffeine
2. Tobacco
3. Alcohol
4. Cocaine
3
Rationale: Alcohol is among the most widely abused substances that has the potential for serious physical and mental birth defects. Cocaine is also harmful to unborn children, but cocaine use is less frequent than alcohol use. Caffeine and tobacco are commonly used substances, but do not cause the serious birth defects that alcohol abuse does.
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The LPN is assisting with the development of a program to administer flu shots to a group of senior citizens. What type of prevention does this program reflect?
A) Primary prevention B) Secondary prevention C) Tertiary prevention D) Prevalence
Which statement best describes the manager's role in socialization?
A) Providing the employee with organizational rules and regulations B) Providing the new employee with a good preceptor C) Ensuring that there are sufficient numbers of good role models D) Sharing organizational values, expected attitudes, and history
A 23-year-old female complains of episodes of blurry vision and numbness and tingling in the left foot. When the foot "falls asleep," the patient feels "imbalanced" and a gait disturbance develops, making the patient fall
The patient has a medical-surgical history of appendectomy age 10. Otherwise, patient has no history of illness and takes no medications. Denies use of tobacco or alcohol. On physical examination, vital signs are T 98 degrees,18 resps/min, pulse 66, and BP 110/60. Vision: 20/20 os, 20/20 od, and 20/20 ou. Heart: regular rate and rhythm, no murmurs. Lungs are clear to auscultation. Abdomen is non-tender with no organomegaly. Extremities: Skin is pink, cool to touch, and intact bilaterally. Left and right quadriceps muscle strength 5/5. DTRs left and right + 2/4. No clonus. Negative Homan's and Babinski's sign. Sensation to pinprick and cotton ball intact in extremities and equal bilaterally. Dorsalis pedis pulses +1 /4 bilaterally. No neurological deficits. The following disorder(s) should be considered in the diagnosis: A. Multiple sclerosis B. Peripheral vascular disease C. Restless leg syndrome D. None of the above
After dopamine is administered to a patient who has been experiencing hypotensive episodes, other than an increase in blood pressure, which indicator would the nurse use to evaluate a suc-cessful response?
a. Decrease in pulse and blood pressure b. Increase in urine output c. Weight gain d. Improved gastric motility