The nurse is caring for a couple who have just learned that their infant has a genetic disorder. What would be least appropriate for the nurse to do at this time?
A) Actively listening to the parents' concerns
B) Teaching the parents about the child's medical needs
C) Providing time for the parents to ask questions
D) Offering suggestions for support services
Ans: B
The parents are most likely overwhelmed with learning the diagnosis and are dealing with a wide range of emotions and reactions. Therefore, it would be inappropriate at this time to attempt teaching them. Rather, the nurse would provide emotional support, actively listening to the parents, allowing time for questions, and offering suggestions for support to assist them in dealing with this new challenge. Teaching can be done at a later time.
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The nurse is assisting with teaching a patient who has had a transient ischemic attack (TIA). On which understanding should a nurse base teaching?
a. TIAs are not serious, and the patient should have no further problems. b. A TIA is predictive that the patient will have a heart attack within 1 year. c. A TIA is a forewarning that the patient is at risk for a cerebrovascular accident (stroke). d. A TIA is a medical emergency that requires immediate surgical intervention.
Depression has been shown to be a significant risk factor for:
a. chronic obstructive pulmonary disease b. myocardial infarction c. cholecystitis d. sleep apnea
When caring for patients who have had a CVA, you know that they
A. are always mentally confused. B. have brain damage opposite the side of paralysis. C. will remain paralyzed for the rest of their lives. D. will not regain bowel and bladder control.
When using intermittent auscultation (IA) for fetal heart rate, nurses should be aware that:
a. They can be expected to cover only two or three clients when IA is the primary method of fetal assessment. b. The best course is to use the descriptive terms associated with electronic fetal monitoring (EFM) when documenting results. c. If the heartbeat cannot be found immediately, a shift must be made to EFM. d. Ultrasound can be used to find the fetal heartbeat and reassure the mother if initial difficulty was a factor.