The nurse is working with a client who has experienced a fetal death in utero at 20 weeks. The client asks what her baby will look like when it is delivered. Which statement by the nurse is best?
1. "Your baby will be covered in fine hair called lanugo."
2. "Your child will have arm and leg buds, not fully formed limbs."
3. "A white, cheesy substance called vernix caseosa will be on the skin."
4. "The genitals of the baby will be ambiguous."
1
Rationale:
1. Downy fine hair called lanugo covers a 20-week fetus.
2. Limb buds have developed by 35 days post-fertilization. At 20 weeks, the fetus will have well developed well differentiated arms and legs.
3. Vernix caseosa forms at about 24 weeks. This fetus is only 20 weeks, and will not have vernix.
4. The genitals are apparent by 12 weeks after fertilization. This fetus would have had specifically male or female genitals 8 weeks ago.
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A nurse who works on a subacute medical unit of a hospital is discussing the increasing population of older adults on the unit with a colleague. Which of the colleague's following statements about older adults is most accurate?
A) "Fortunately, Social Security ensures a sufficient level of income for people over 65.". B) "It helps that older people don't have to directly incur any costs for their medical care.". C) "Most of the older clients on the unit will have come to us from nursing homes.". D) "It's reassuring that people are starting to show more concern for older adults than in decades past.".
A client is scheduled for a renal angiography. Which of the following would be appropriate before the test?
A) Monitor the client for signs of electrolyte and water imbalance. B) Monitor the client for an allergy to iodine contrast material. C) Assess the client's mental changes. D) Evaluate the client for periorbital edema.
A nurse who taught a diabetic client about diet and medication therapy is evaluating the effectiveness of the teaching plan on client goal achievement
The client learned the required information about medication therapy but is still having difficulty with meal choices. The nurse would determine that this client: 1. has fully met the goals. 2. has partially met the goals. 3. has not met the goals. 4. cannot be evaluated yet in terms of goal achievement.
Which goal is most likely to be chosen by the nurse for a patient who uses the interpersonal model as a basis for practice?
a. The patient will develop mature, satisfying relationships that are relatively free of anxiety. b. The patient will rid himself of irrational beliefs, including "shoulds," "oughts," and "musts." c. The patient will learn to meet basic needs responsibly. d. The patient will manage stress adaptively.