You are caring for a 32-year-old woman who has been in labor for over 24 hours. The physician wants to schedule her for a cesarean section; however, your client wishes to continue with the labor process and have a vaginal delivery
You attempt to support your patient while educating her on the possible consequences to the fetus if a cesarean section is not performed soon. This is an example of which of the following? a. Nurse-physician conflict
b. Maternal-fetal conflict
c. Lack of maternal education
d. Use of poor communication techniques
B
Maternal-fetal conflict occurs when a pregnant woman is being asked to modify behavior or to submit to treatment to benefit her developing fetus. The nurse and physician are not in conflict. While the nurse recognizes the woman's right to autonomy, the nurse has educated the woman on the consequences of her choice. There is no indication that the patient lacks education or that poor communication techniques have been implemented.
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Intradermal skin testing can be done to evaluate cell-mediated immunity. A common agent used is
A) measles. B) malaria. C) chlamydia. D) Candida.
The nurse monitors a 55-year-old man receiving spirolactone for:
a. hyponatremia. c. hypochloremia. b. gum dysplasia. d. gynecomastia.
To assist an older, confused patient to adhere to a multidrug regimen, the nurse will provide which recommendation?
a. Avoid the use of over-the-counter medications. b. Bring all medications to each clinic visit. c. Review the manufacturer's information insert about each medication. d. Save money by getting each drug at the pharmacy with the lowest price.
A nurse was so angry at a family for not being home when the nurse arrived for their appointment that the nurse wanted to drop the family from the agency caseload. What would the agency supervisor need to point out to the nurse?
a. Clients can have emergencies that interfere with plans. b. Communication about the time of the appointment may not have been clear. c. Nurses expect promptness and compliance, but not all clients feel the same way. d. Perhaps the nurse made an error in writing down the appointment date and time.