The primiparous patient has told the nurse that she is afraid she will develop hemorrhoids during pregnancy because her mother did. Which statement would be best for the nurse to make?
1. "It is not unusual for women to develop hemorrhoids during pregnancy."
2. "Most women don't have any problem until after they've delivered."
3. "If your mother had hemorrhoids, you will get them, too."
4. "If you get hemorrhoids, you probably will need surgery to get rid of them."
1
Rationale 1: Many pregnant women will develop hemorrhoids either during pregnancy or after delivery from the pushing efforts of the second stage of labor. The increased weight of the gravid uterus, combined with constipation, can result in the varicosities' prolapsing.
Rationale 2: It is not is true that most women have no hemorrhoids until after the birth. Many women develop hemorrhoids during pregnancy.
Rationale 3: Although there is a familial tendency to develop varicosities, including hemorrhoids, a family history does not automatically mean that a patient will develop the condition.
Rationale 4: Most hemorrhoids will resolve spontaneously, and will not require surgical intervention.
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An Asian-American woman is experiencing diarrhea, which is believed to be "cold" or "yin." The nurse expects that the woman is likely to try to treat it with:
a. Foods that are "hot" or "yang." b. Readings and Eastern medicine meditations. c. High doses of medicines believed to be "cold." d. No treatment is tried because diarrhea is an expected part of life.
A nurse is teaching a class to new mothers who are also high school students. What action by the nurse is the most appropriate in order to decrease the risk of child maltreatment?
A. Explain the laws regarding child abuse and neglect. B. Provide education on normal childhood development. C. Refer all the young mothers to a social service agency. D. Teach the mothers signs and symptoms of abuse.
A client with a diagnosis of sepsis has received intravenous immune globulin (IVIG) as a partial treatment. The nurse knows which of the following client responses listed below would best suggest an accurate understanding of IVIG treatment?
A) "These antibodies in the solution have been collected from individuals who have successfully fought off the same infection." B) "The IVIG should help stimulate fever, inflammation, and tissue repair in the fight against the infection." C) "A big part of my IVIG treatment is actually stimulating and supplementing my immune system to do the work itself." D) "The main effect of IVIG is to cause my body to produce more white blood cells to fight infection."
During the assessment of a client's eyes, the nurse suspects the client has entropian. Which of the following did the nurse most likely find while assessing this client?
1. Eversion of the lower eyelid 2. Inversion of the lid and eyelashes 3. Swollen, red hair follicles 4. Firm, nontender nodule on the eyelid