The nurse caring for pregnant clients realizes that which client is most likely to have a newborn at risk for mortality or morbidity?
1. 16-year-old primipara, began prenatal care at 30 weeks
2. 23-year-old primipara, low socioeconomic status, unmarried
3. 28-year-old G2 P1001, history of gestational diabetes
4. 37-year-old G8 P2323, works in a chemical factory
4. 37-year-old G8 P2323, works in a chemical factory
Rationale:
The 37-year-old client is at greatest risk because she has multiple risk factors: age over 35, high parity, history of preterm birth, and exposure to chemicals that might be toxic. The 16-year-old client has two risk factors: young age and late onset of prenatal care. The main risk factor for the 23-year-old client is her low socioeconomic status. The 28-year-old client has gestational diabetes history as her only risk factor.
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The nurse receives a written order for ophthalmic medication to be administered OU to an adult client. Which action by the nurse when administering this medication is the most appropriate?
1. Pulling the pinna up and back, and dropping the medication into the left ear 2. Pulling the pinna down and forward, and dropping the medication into both ears 3. Exposing the lower conjunctival sac of the left eye, and dropping the medication into the sac 4. Exposing the lower conjunctival sac of both eyes, and dropping the medication into the sac
A client is being prepared for a craniotomy. What should the nurse explain to the family about the client's condition after the surgery?
1. Will be unconscious for several days 2. Will not be able to eat for 2 weeks 3. Will have swelling of the head and eyes with bruising 4. Can take a shower the next morning
A patient diagnosed with anorexia nervosa has the nursing diagnosis imbalanced nutrition, less than body requirements, related to inadequate food intake. The long-term goal of the treatment plan is that the patient will
a. gain 1 to 3 lb weekly. b. exhibit fewer signs of malnutrition. c. restore healthy eating patterns and normalize weight. d. identify cognitive distortions about weight and shape.
The radiation therapy client has come to the clinic complaining of stomatitis. The client asks for suggestions about the best foods to eat. What would be the best lunch for someone with stomatitis?
A) Cottage cheese with canned fruit B) Vegetable beef soup C) Reuben sandwich (ham, cheese, and sauerkraut on pumpernickel bread) D) Pizza