A high school–aged teen tells the school nurse that she wants to become pregnant. The most appropriate nursing action is to:
a. Ignore the comment.
b. Tell the teen that she should not engage in sexual activity or get pregnant.
c. Call the teen's parents.
d. Provide preconceptual counseling and emphasize the need to achieve good health.
D
This demonstrates that the nurse has heard what the teen is saying and has provided useful in-formation that may encourage the teen to examine her plans carefully, seriously, and maturely.
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A client is in the emergency department reporting a brief episode during which he was dizzy, unable to speak, and felt like his legs were very heavy. Currently the client's neurologic examination is normal. About what drug should the nurse plan to teach t
a. Alteplase (Activase) b. Clopidogrel (Plavix) c. Heparin sodium d. Mannitol (Osmitrol)
If a test standard is valid and the criteria for discriminating a positive from a negative test remain constant, what else will remain constant?
1. Sensitivity 2. Specificity 3. Reliability 4. Accuracy
A newborn has been brought to the neonatal intensive care unit because of bladder exstrophy. The nurse should immediately:
1. Apply sterile gauze to the area. 2. Cover the area with petroleum jelly. 3. Cover the area with film wrap. 4. Place a Foley catheter.
A patient on an oncology unit has been receiving ifosfamide (Ifex) for a few days. Before administering the next dose, the nurse reviews the patient's laboratory test results. Which finding would cause the nurse to hold the dose?
a. Elevated white blood cell count b. Low hemoglobin and hematocrit levels c. Low levels of ketones in the urine d. Microscopic hematuria