Janice, a 30-year old pregnant woman at 22 weeks gestation has an obstetrical history of a previous miscarriage and a live preterm birth. She tells the prenatal nurse that she works as a waitress serving lunch and dinner at a restaurant
She explains that she is experiencing extreme fatigue, swelling of her feet, and back pain at the end of each work day. The perinatal nurse discusses with Janice some options for ongoing work including:
Select all answers that apply:
A) Negotiating for 8 hour shifts
B) Resting when she is at home after work
C) Ensuring that she has 20–30 minutes every two hours to put her feet up and rest
D) Reviewing the signs and symptoms of preterm labor and the need to discontinue work if these symptoms occur
A, B, D
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A nurse cares for a client with diabetes mellitus who is prescribed metformin (Glucophage) and is scheduled for an intravenous urography. Which action should the nurse take first?
a. Contact the provider and recommend discontinuing the metformin. b. Keep the client NPO for at least 6 hours prior to the examination. c. Check the client's capillary artery blood glucose and administer prescribed insulin. d. Administer intravenous fluids to dilute and increase the excretion of dye.
A school nurse is increasingly concerned with a growing absentee problem. To best address this issue, which of the following actions should the nurse take?
A. Begin a structured follow-up program for asthmatic children. B. Hold informational meetings on the importance of childhood vaccines. C. Partner with providers on continuity plans for kids with chronic illness. D. Work with law enforcement to develop a truancy response team.
Cathy Simms is a nurse at an elementary school in a low-income inner city. Cathy is aware of the probability of lead poisoning afflicting some of the students in her school, and she wants to do something to explore this problem
Much of the area housing was built in the 1940s, and higher-than-expected lead levels have been found in playground soil traced to an old battery manufacturing plant located nearby. A primary prevention strategy that Cathy has determined to accomplish would be to: 1. Have each neighborhood child tested for lead. 2. Have the contaminated soil removed from the playground. 3. Provide information on chelation therapy for all residents of the area. 4. Providing training for teachers and parents on how to recognize signs and symptoms of lead poisoning.
Which of the following is an advantage of synthetically created drugs?
A. They are less expensive. B. They are less regulated. C. They are more effective. D. They have fewer side effects.