A 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse recognizes that because the adolescent is still growing, she is at greater risk for:
a. calcium deficit.
b. cephalopelvic disproportion.
c. bleeding tendency.
d. low hemoglobin levels.
B
There are several physiological concerns for pregnant adolescents, including cephalopelvic disproportion.
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A community health nurse is applying the normative-reeducative strategy of change when working with clients. In doing so, the nurse engages them into changing their behavior in addition to providing education, based on which assumption?
A) Information alone is not enough, and behaviors change through persuasion. B) Compliance by the client system will occur through the use of power to effect change. C) People are rational and will adopt a new practice because it is in their best interest. D) Clients can assume a high degree of responsibility for their own help.
An older patient with chronic pain is newly prescribed transdermal fentanyl. What will the nurse do when providing this medication? Standard Text: Select all that apply
1. Monitor liver function tests. 2. Use the lowest possible dose. 3. Anticipate and treat side effects. 4. Apply the patch to clean, dry, hairless skin. 5. Provide the patient with oral pain medications the first day the patch it used.
The nurse notices that a patient with an arterial line has an elevated partial thromboplastin time (PTT) and is not on anticoagulation therapy. The nurse would:
1. Take the patient for an immediate V/Q scan. 2. Assess for the presence of a deep vein thrombosis. 3. Change the heparinized saline solution in the pressure bag for the arterial line to a normal saline solution. 4. Ask for an order to begin Lovenox therapy.
A teen girl is explaining to the nurse that her menstrual cycle is not like her friends because her bleeding last longer than seven days and is very heavy. Menorrhagia has been previously diagnosed, and the nurse should anticipate:
1. Obtaining laboratory tests to check the girl's hemoglobin and hematocrit. 2. Discussing a diet which includes broccoli and other dark leafy vegetables during menses. 3. Teaching the teen how to record the amount of bleeding during her cycle. 4. All of the above should be done with the teen.