When preparing nutritional instruction, which of the following pregnant clients would the nurse consider highest priority?
1. 40-year-old gravida 2
2. 22-year-old primigravida
3. 35-year-old gravida 4
4. 15-year-old nulligravida
4
Rationale:
1. The 40-year-old has completed her growth cycle, and her body can focus on diverting the nutritional needs to the fetus.
2. The 22-year-old has completed her growth cycle, and her body can focus on diverting the nutritional needs to the fetus.
3. The 35-year-old has completed her growth cycle, and her body can focus on diverting the nutritional needs to the fetus.
4. Adolescent clients typically are still in their own growth cycle. Suddenly, they have to supply nutrition for themselves and the fetus. This places them at greatest risk for malnutrition.
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A patient with multiple sclerosis has been prescribed baclofen (Lioresal) to relax muscles. What should be included in the nurse's teaching about taking this drug? (Select all that apply.)
a. "Do not drive or operate machinery until the effects of the drug on you are known." b. "Avoid crowds while on this medication." c. "Try to prevent constipation by adequate fluid intake, eating fiber-rich foods, and using suppositories occasionally if necessary." d. "Take a calcium supplement while on this medication." e. "Report any shortness of breath or other respiratory problems." f. "Do not eat grapefruit, drink grapefruit juice, or consume other products containing grapefruit."
When the community health nurse applies the ecological perspective to environmental health, which of the following concepts is most important?
A) Primary prevention is limited in this area B) The need for foresight in designing innovations C) No one factor can be viewed in isolation D) Implications of scientific advances are fully understood
An older adult who is a traditional Chinese man has a blood pressure of 80/54 mm Hg and refuses to remain in the bed. Which intervention should the nurse use to promote and maintain his health?
a. Have the health care provider speak to him. b. Use principles of the holistic health system. c. Ask about his perceptions and treatment ideas. d. Consult with a practitioner of Chinese medicine.
Which is the name of the suture separating the parietal bones at the top of a newborn's head?
a. Frontal b. Sagittal c. Coronal d. Occipital