In addition to telling the client to report any warning signs, a nurse should provide anticipatory guidance for a pregnant client that includes which of these topics?
a. avoiding environmental hazards
b. how to maintain or increase a physical exercise program
c. how to reduce kilocalorie intake
d. cultural variations and views of pregnancy
A
Anticipatory guidance for a pregnant client should include environmental hazards, discomforts of pregnancy, warning signs, and nutrition.
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What clinical manifestation indicates to the nurse that the client with glomerular nephritis being treated in the community is responding as expected to the prescribed treatment?
A. The client has lost 11 pounds in the past 10 days. B. The client's urine specific gravity is 1.048 C. No blood is observed in the client's urine. D. The client is thirsty.
A client has chosen to discontinue hemodialysis, but the client's family is not supportive of the decision. The nurse who uses the theory of principles-based reasoning would make which statement?
1. "This client is of sound mind and is capable of making independent decisions regarding health care. It really is the client's decision to make.". 2. "I need to try and help the family understand the client's decision so they can work through this situation together.". 3. "This client's health is so deteriorated that the treatment is not saving the client's life. It is prolonging the ultimate outcome, which is death.". 4. "The client understands the decision and the advanced stage of the disease. If the client quits treatment, the client will die.".
A schizophrenic client approaches a nurse with a look of distress and anguish on his face, saying, "Can't you hear him? It's the devil. He's telling me I'm going to hell." Which is the most appropriate response by the nurse?
A) "Did you take your medicine this morning?" B) "You are not going to hell. You are a good person." C) "There is no such thing as the devil. It's all in your mind." D) "The voices sound really distressing and scary, but I don't hear them."
The student understands that the LPN/LVN role differs from the RN role in many areas. She shows understanding when she can state that the LPN/LVN and RN are similar in which area?
a. Educational preparation b. Thinking skills c. Assessment skills d. Basic psychomotor skills