The nurse is providing discharge instructions to a pregnant woman at risk for preterm labor. Which statement by the patient indicates the teaching was effective?
a. "I will avoid eating spicy foods."
b. "I will avoid taking a warm bath."
c. "I will avoid sexual intercourse."
d. "I will avoid wearing tight-fitting clothing."
ANS: C
Sexual abstention is advised for women at risk for miscarriage or preterm labor because of the uterine-stimulating effects of the hormone oxytocin that is released during orgasm.
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A client being treated for hypothyroidism has been admitted for pneumonia. Which activity does the nurse include as a priority in this client's care plan?
a. Monitor the client's IV site every shift. b. Administer acetaminophen (Tylenol) for fever. c. Ensure that working suction equipment is in the room. d. Assess vital signs every 4 hours.
The brother of a terminally ill patient states, "I'll donate a million dollars to the hospital if they cure my brother." The nurse realizes this statement indicates which phase of Kübler-Ross's stages of loss?
1. bargaining 2. denial 3. anger 4. acceptance
Which statement indicates a nurse's lack of understanding about the use of patient-controlled analgesia (PCA) therapy?
a. Children as young as 3 years old can effec-tively and successfully use a PCA pump. b. Two registered nurses (RNs) are required to double check the dosage and programmed administration of opioids. c. The child should be carefully monitored for signs and symptoms of overmedication with opioids. d. Naloxone (Narcan) should be readily available.
During a review of systems, an older adult client reports being able to see her granddaughter play basketball out of the sides of her eyes, but not in the center of her eyes. Based on this information, the nurse suspects this client may have:
a. Presbyopia. b. Macular degeneration. c. Pseudoptosis. d. Entropion.