A 21-year-old woman is 12 weeks pregnant with her first baby. She has cardiac disease, class III, as a result of having had childhood rheumatic fever. Which planned activity would indicate to the nurse that the client needs further teaching?
A. "I will be sure to take a rest period every afternoon."
B. "I would like to take childbirth education classes in my last trimester."
C. "I will have to cancel our trip to Disney World."
D. "I am going to start my water aerobics classes next week."
D
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What medication does the nurse administer to treat anemia associated with chronic renal failure?
A) Methoxy polyethylene glycol-epoetin beta B) Ferrous sulfate exsiccated C) Levoleucovorin D) Hydroxyurea
You work in an intermediate care unit that has experienced high nursing turnover. The nurse manager is often considered to be an autocratic leader by staff members and her leadership style is contributing to turnover
You have asked to be involved in developing new guidelines to prevent pressure ulcers in your patient population. The nurse manager tells you that you do not yet have enough experience to be on the prevention task force. This situation and setting is an example of: a. a barrier to handoff communication. b. a work environment that is unhealthy. c. ineffective decision making. d. nursing practice that is not evidence-based.
When obtaining the patient's signature on the operative consent form, the patient seems confused about the procedure to be performed. The appropriate response by the nurse is to:
1. tell the patient to talk to the physician after he gets to the operating room. 2. ask the patient to go ahead and sign the consent. 3. ask the patient what the physician told him and then call the physician if neces-sary. 4. encourage the patient to ask his family what the physician told them.
What disorder of the anus or rectum best fits this presentation?
A 22-year-old nurse comes to your clinic, complaining of severe constipation and pain during defecation. She has also seen blood on the toilet paper. She states that she eats a healthy diet and does some light exercising. She is currently at the beginning of her third trimester of an unremarkable pregnancy. Her past medical history is unremarkable. Her mother has high cholesterol but her father is in good health. She does not smoke, drink alcohol, or use illegal drugs. She is married and expecting her first child. On examination she appears healthy and is afebrile, with a blood pressure of 110/60. Her abdominal examination reveals a gravid uterus but is otherwise unremarkable. On visualization of the anus there is a slight red, moist-appearing protrusion from the anus. As you have her bear down, the protrusion grows larger. On digital rectal examination you can feel an enlarged tender area on the posterior side. There is some blood on the glove after the examination. A) Anal fissure B) External hemorrhoids C) Internal hemorrhoids D) Anorectal fistula