A 38-year-old client is thrilled to learn of being pregnant with her first child. What should the nurse identify as advantages for the client having a child at this age? Select all that apply
1. Most likely well-educated.
2. Ready to make a life change.
3. Decision was made deliberately.
4. Child care will be easier at this age.
5. Able to take on the responsibilities of a child.
1, 2, 3, 5
Explanation:
1. Single women or couples who delay childbearing until they are older tend to be well educated and financially secure.
2. Some women are ready to make a change in their lives, wanting to stay home with a new baby.
3. Usually, the decision to have a baby at an older age was deliberately and thoughtfully made.
4. Because of their greater life experiences, they also are more aware of the realities of having a child and what it means to have a baby at this age. Child care will not be easier.
5. Many of the women have experienced fulfillment in their careers and feel secure enough to take on the added responsibility of a child.
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A client who has begun receiving TPN with lipids develops shaking chills, shortness of breath, and chest pain. The priority action by the nurse is to immediately
a. call the physician. b. obtain a 12-lead ECG. c. stop the infusion. d. take a set of vitals.
The client's ascites is severe and is causing difficulty breathing and shortness of breath. The nurse prepares the client for a paracentesis to remove excess fluid by instructing the client to:
A) lie on the right side. B) lie on the left side. C) empty the bladder. D) drink nothing by mouth 12 hours prior to the procedure.
The pediatric nurse prepares a nursing care plan for a patient admitted to the intensive care unit for meningitis. The nurse is aware that appropriate nursing interventions for this condition include:
Select all answers that apply. A) implementing standard precautions. B) initiating and maintaining IV access. C) monitoring vital signs every 4 to 8 hours. D) monitoring neurological status and symptoms.
Health care costs are increasing as technology and related services increase
Patients interact with many health care providers, such as RNs, LPNs, physicians, physical therapists, medical technologists, radiation technologists, specialists, and others employed in health care. As a result of the complexity of care and multiple providers, health care is becoming fragmented. What are the major results of fragmented care? A) Less confusion for clients regarding treatment. B) Increased medication errors. C) Clients receive more specialized care. D) Lack of continuity of care.