The nurse educates a patient about differences between primary infertility and secondary infertility. Which statement accurately describes primary infertility?
a. Inability to maintain a pregnancy past the first trimester.
b. Inability to conceive after 1 year of active unprotected sex.
c. Inability to deliver a viable infant after two pregnancies.
d. Inability to conceive after using a follicle stimulator for 1 year.
B
Primary infertility is defined as inability to conceive after 1 year of active unprotected sex. Sec-ondary infertility is the inability to conceive after having once conceived, or the inability to maintain a pregnancy long enough to deliver a viable infant. Approximately 10% to 20% of U.S. couples have infertility, and today more couples are seeking medical intervention.
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The family is considering withdrawing life-sustaining measures from the patient. The nurse knows that ethical principles for withholding or withdrawing life-sustaining treatments include which of the following?
a. Any treatment may be withdrawn and withheld, including nutrition, antibiotics, and blood products. b. Doses of analgesic and anxiolytic medications must be adjusted carefully and should not exceed usual recommended limits. c. Life-sustaining treatments may be withdrawn while a patient is receiving paralytic agents. d. The goal of withdrawal and withholding of treatments is to hasten death and thus relieve suffering.
The nurse is caring for a mother after the delivery of her newborn. The nurse is preparing to administer a dopamine antagonist to stimulate the mother's milk production. What medication will the nurse administer?
A) Ondansetron (Zofran) B) Metoclopramide (Reglan) C) Meclizine (Antivert) D) Diphenhydramine (Benadryl)
A spouse of a postoperative client tells the nurse that they do not understand why no pain medication has been given. Which response should the nurse provide the spouse?
A. "I am going to talk to your spouse about refusing the pain prescription." B. "Some clients do not require analgesics." C. "I am monitoring your spouse for nonverbal pain cues." D. "Some clients are too sedated to realize they need something for pain control."
An elderly patient was admitted with pneumonia and a fever of 104.5° F. At the time of admission he was confused, disoriented, restless, and tried to slap the nurse who started an intravenous line
His daughter stated, "Just yesterday he was perfectly fine, except for a cold. I can't believe he is acting this way now." Within a few days, his erratic behavior subsided and his daughter was relieved that he was "back to normal." The nurse recognizes that this patient was exhibiting signs of which disorder? a. Dementia b. Delirium c. Panic attack d. Alcohol withdrawal