The pregnant client states she does not want "to take all these supplements." What recommendations could the nurse make for the client? Note: Credit will be given only if all correct choices and no incorrect choices are selected

Select all that apply. 1. "Folic acid has been found to be essential for minimizing the risk of neural tube defects."
2. "You do not have to take these supplements if you think you are healthy enough."
3. "Most women do not have adequate intake of iron pre-pregnancy, and iron needs increase with pregnancy."
4. "These medications do the same thing. I will call your physician to cancel one of your medications."
5. "You should take the folic acid, but the vitamins are not that important."


1, 3
Explanation: 1. An inadequate intake of folic acid has been associated with neural tube defects (NTDs) (e.g., spina bifida, anencephaly).
3. Iron is essential because many pregnant women do not have adequate intake of iron before pregnancy.

Nursing

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The nurse identifies a tunnel in a wound that previously contained a drain. She can document the length of the tunnel by inserting a

A) cotton swab. B) ruler. C) measuring tape. D) None of the above is correct.

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Upon admission, the nurse notes that a patient has a billfold filled with cash. Because there is no family member present, the nurse suggests that the money be:

a. placed in a sealed envelope in the bedside table. b. given to hospital security. c. locked in the narcotic cupboard. d. placed in the hospital safe.

Nursing

The K+ laboratory report shows a level of 5.2 mEq/L. The nurse will assess the patient closely for:

1. excessive thirst. 2. irregular heartbeat. 3. swelling of ankles. 4. frightening hallucinations.

Nursing

A patient calls the clinic and asks to speak to the nurse. The patient tells the nurse that she has just started taking morphine for advanced cancer, is constipated, and wonders what is causing this. What would be the nurse's best response?

A) "People can become constipated for no reason at all." B) "People can become constipated when they eat a lot of fiber." C) "People can become constipated when taking certain medications." D) "People can become constipated when they are active."

Nursing