A couple is at the clinic for preconceptual counseling. Both parents are 40 years old. The nurse knows that the education session has been successful when the wife states: (Select all that apply.)

A. "We are at low risk for having a baby with Down syndrome."
B. "Our children are more likely to have genetic defects."
C. "Children born to parents this age have sex-linked disorders."
D. "The tests for genetic defects can be done early in pregnancy."
E. "It will be almost impossible for us to conceive a child."


D

Nursing

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The nurse is explaining how maintaining high rates of immunization among children not only protects individual children from disease, but also serves to protect other members of the population. This best describes:

1. Active immunity. 2. Passive immunity. 3. Acquired immunity. 4. Herd immunity.

Nursing

The patient is scheduled to have an EEG to confirm the presence of a sleep disorder. The patient asks the nurse to describe Stage IV NREM sleep. What is the best response by the nurse?

1. "This is the lightest stage of sleep, and is profoundly affected by anxiety." 2. "Dreaming occurs here; without dreams you will be irritable and paranoid." 3. "This is the deepest stage of sleep; without it you will be tired and depressed." 4. "This stage comprises the greatest amount of sleep time, and is important."

Nursing

The nurse manager is reviewing the QSEN quality and safety competencies for nurses. Which competencies are included in this initiative? Select all that apply

A) Client-centered care B) Teamwork and collaboration C) Establishment of clinical career ladders D) Revamping the licensing requirements for foreign-educated nurses E) Quality improvement (QI)

Nursing

Which of the following should a nurse note when counseling a client with type 1 diabetes on physical exercise? Select all that apply.

A) Exercise is strongly encouraged to improve cardiovascular fitness. B) Insulin levels remain largely unaffected by physical exercise. C) Blood pressure may drop during exercise for those with type 1 diabetes. D) Exercise may worsen renal conditions. E) Physical activity will increase the number of your insulin receptors.

Nursing