The nurse is planning care for several pregnant patients. Which patient is at the greatest risk for nutritional deficiency while pregnant?

A) Patient who rarely eats fruit
B) Patient with a 1-year-old son
C) Patient with 10-year-old twins
D) Patient who never follows a weight-reduction diet


B
Feedback:
A pregnant woman with high parity or a short interval between pregnancies such as having a 1-year-old son may enter pregnancy with depleted nutritional reserves that she has little to draw on during the first part of pregnancy. The other pregnant patients may have nutritional deficiencies that can be corrected with vitamin supplementation or adjustments in the diet.

Nursing

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The nurse has just been notified that a client is to be admitted from the emergency department (ED) with a diagnosis of alcohol intoxication

The ED nurse says they have been unable to obtain much history because of the client's lethargic state. Which action is an appropriate intervention by the nurse? 1. Approach the client with caution when obtaining vital signs and shift assessments. 2. Place the client in a room farthest from the nurse's station so as not to disturb other clients. 3. Place the client in four-point restraints as a protective measure. 4. Post an armed security person at the client's door.

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A psychiatric clinical nurse specialist presenting a class to nursing students on treating depression in patients with HIV discusses treatment options for depression in this patient population and informs the students

that the initial treatment approach integrates: A) Psychotherapy and pharmacology B) Psychotherapy and electroconvulsive therapy C) Pharmacology and vocational counseling D) Electroconvulsive therapy and vocational counseling

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A patient asks the nurse, "Why has my primary care physician ordered an antidepressant for me? I'm not depressed. I'm just in pain." The nurse could appropriately explain:

1. "It was ordered because it is known to potentiate the pain medication that you are taking." 2. "Anyone who is suffering from pain will eventually begin to suffer from depression, so your physician wants to prevent that." 3. "Everyone experiences depression at one time or another." 4. "I guess your primary care physician must have misunderstood you. I'll talk to the physician later."

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A nurse is assessing a patient's wound. Which nursing observation will indicate the wound healed by secondary intention?

a. Minimal loss of tissue function b. Permanent dark redness at site c. Minimal scar tissue d. Scarring that may be severe

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