A woman has a hydatidiform mole (molar pregnancy) evacuated, and is prepared for discharge. The nurse should make certain that the client understands that what is essential?
1. That she not become pregnant until after the follow-up program is completed
2. That she receive RhoGAM with her next pregnancy and birth
3. That she has her blood pressure checked weekly for the next 30 days
4. That she seek genetic counseling with her partner before the next pregnancy
1
Explanation: 1. Because of the risk of choriocarcinoma, the woman treated for hydatidiform mole should receive extensive follow-up therapy. Follow-up care includes a baseline chest X-ray to detect lung metastasis and a physical examination including a pelvic examination. The woman should avoid pregnancy during this time because the elevated hCG levels associated with pregnancy would cause confusion as to whether cancer had developed.
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Which approach would be best for the nurse to use when assessing for somatoform disorders? 1. Realize client judgment is intact. 2. Avoid personalizing the behavior by recognizing that somatization is part of the illness. 3. Have sympathy for the psychopathology of the disorder. 4. Expect the client to respond appropriately to the nurse's need to complete the assessment.
A client who has been seen responding to auditory hallucinations earlier in the morning approaches
the nurse and shakes his fist, saying "Back off, bitch!" and then goes into the day room. The nurse follows the client into the day room. The nurse should a. move to a position that allows the client to be closest to the door. b. make sure physical space is present between herself and the client. c. position herself within an arm's length of the client. d. sit down in a chair near the client.
What does a quantitative research instrument measure?
a. The level of measurement b. A statistical test c. Itself, for validity d. A study variable
A male patient of African-American descent is prescribed hydralazine and isosorbide (BiDil) as treatment for heart failure. What should the nurse instruct the patient about this medication?
Select all that apply. 1. "Change positions slowly." 2. "Dizziness and fainting are expected adverse effects of this medication." 3. "You may have a headache when starting this medication, but it will subside." 4. "Notify the healthcare provider if you have chest pain while taking this medication." 5. "Do not take medications to treat erectile dysfunction while taking this medication."