The nurse is providing guidance for a woman in her second trimester of pregnancy and telling her about some of the signs and symptoms that she might experience. Which statement by the client indicates that further teaching is necessary?
1. "During the third trimester, I might have frequent urination."
2. "During the third trimester, I might have heartburn."
3. "During the third trimester, I might have back pain."
4. "During the third trimester, I might have a persistent headache."
4
Explanation: 4. A persistent headache is not normal or expected. This could be related to the complication of preeclampsia.
You might also like to view...
The husband of a laboring woman asks the nurse how he can help his wife throughout the first stage of labor. The nurse informs him that, in addition to all that he's doing now, he could tell her when the contraction(s):
a. Are 2 minutes apart. b. Is at its acme. c. Is at its increment. d. Is at its decrement.
The nurse using the Forchuck model of case management will see the essential component of case
management as a. the one-on-one therapeutic relationship between nurse and client. b. monitoring the cost-effect ratio of care provided by a managed care organization. c. a melding of nursing roles to meet all manifest needs of a particular client. d. advocacy for the client in the community in which he or she lives and works.
A physician orders a blood transfusion for an older client in the hospital. The nurse approaches the client to sign a consent form for the transfusion and finds that the client is confused. The nurse should
A) explain the benefits and burdens of the transfusion, help the client sign the consent, and administer the blood transfusion. B) administer the blood transfusion; a signed consent form is not absolutely necessary. C) explain to the client about the ordered blood transfusion, determine the client's willingness to have the transfusion, and inform the client their durable power of attorney will be contacted to sign the consent. Transfuse the blood after the power of attorney gives consent. D) withhold the blood transfusion until the client's mental status improves and then ask the client to sign the consent.
Which is the correct technique for using the bell portion of the stethoscope?
1) Avoid touching the bell during auscultation 2) Hold the bell lightly on the chest wall 3) Apply light pressure with the bell slightly tilted up 4) Hold the bell firmly against the chest wall