The patient who experienced an emergency cesarean birth with her first child expresses anxiety about her upcoming birth. How can the nurse teaching the patient's prenatal classes help decrease her anxiety?
1. Encourage muscle tightening with each contraction.
2. Explain that patterned breathing increases anxiety, and should be avoided.
3. Instruct the patient to hire a therapeutic massage therapist for labor.
4. Encourage the patient to practice progressive relaxation and use the technique in labor.
4
Rationale 1: Muscle tightening with each contraction will make the contraction more intense and painful and should be discouraged
Rationale 2: Patterned breathing techniques decrease, not increase, anxiety. Practice of patterned breathing prior to the onset of labor facilitates its use during labor.
Rationale 3: Not all patients enjoy massage, and not all patients have the resources to hire this type of professional for their labor.
Rationale 4: Progressive relaxation (and all relaxation techniques), when practiced prior to labor, is a valuable tool to facilitate relaxation and therefore decrease anxiety during labor.
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A) Call his physician if he develops muscle pain B) It is acceptable to eat saturated fats C) Decrease the dose if lethargy occurs D) Eat two eggs per day to increase protein stores
A patient is being tested for adrenal insufficiency with the rapid adrenocorticotropic hormone (ACTH) stimulation test. How will the nurse explain this test to the patient?
1. "You will drink about a cup of a salty-tasting fluid during this test." 2. "It will take several hours to complete this test." 3. "We have to do this test first thing in the morning, just after you awaken." 4. "A series of blood samples will be drawn during this test."
The first step of the information chain in an electronic system is:
What will be an ideal response?
A patient has been prescribed ropinirole (Requip). She states, "I don't know why they are giving me this medicine. I don't have restless leg syndrome
" What is the nurse's best response in teaching this patient with newly diagnosed Parkinson's disease about ropinirole (Requip)? A) "You are mistaken; ropinirole is not used for restless leg syndrome." B) "You are right about ropinirole, but it is also used in early Parkinson's disease." C) "Your doctor must have written the prescription wrong. I will call her." D) "Ropinirole is used for restless leg syndrome and migraines, not parkinsonism."