The client who was raped is extremely upset when a pregnancy test confirms that she is pregnant, and requests information regarding pregnancy termination. Which statement is best for the nurse to include?
1. "Abortion is morally wrong, and should not be undertaken."
2. "Hypertension is a risk with any abortion."
3. "Surgical abortion in the first trimester is technically easier and safer than abortion in the second trimester."
4. "The most accurate method to determine gestational age are the results of a pregnancy test."
3
Explanation: 3. Second-trimester abortion (greater than 13 weeks' gestation up to 24 weeks or as per state law) may be done medically or surgically.
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Which of the following circumstances indicate that a 5-year-old about to enter grade school should be screened for current illness before receiving her immunizations?
1. She will cry and hurt too much. 2. Her father is chronically ill at home. 3. She has another year before she needs them. 4. Her mother passed immunity to her at birth.
The nurse is evaluating the activity tolerance of a 9-month-old with iron-deficiency anemia. The finding that indicates the child is tolerating activity is
1. tachycardia,HR of 150. 2. decreased alertness. 3. respiratory rate less than 50 withactivity. 4. muscle weakness.
The nurse will assess the child with acute glomerulonephritis for symptoms that may indicate a possible seizure, such as: (Select all that apply.)
a. Headache b. Drowsiness c. Vomiting d. Blurred vision e. Bloody nose
A nurse is caring for a client who complains that of being unable to read a newspaper or a magazine properly, even in normal light. Which is the most likely cause for this condition?
A) Pupil is no longer able to dilate fully B) Debris has built up within the eye C) Slow body secretions D) Continuous strain on the eye