The nurse in the OB-GYN clinic is working with a patient who is seeking her initial prenatal visit
The nurse will use the acronym TPAL to document the patient's number of: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply. 1. Term infants born.
2. Children living in the home.
3. Pregnancies ending in abortion.
4. Preterm infants born.
5. Pregnancies that occurred.
1,3,4
Rationale 1: null
Rationale 2: L: number of currently living children to whom the woman has given birth, not the number in the home
Rationale 3: A: number of pregnancies ending in either spontaneous or therapeutic abortion
Rationale 4: null
Rationale 5: The documentation will not be of just any pregnancy, but descriptive of that pregnancy.
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A nurse is working with a family whose child has bipolar disorder. Which item is the most appropriate for the nurse to including in the teaching session for this child and family?
A. Ensure the child follows all house rules; do not give in. B. Instruct family that if mania is uncontrollable, hospitalization is required. C. Protect younger children from sexually aggressive behaviors. D. Provide routine and structure and appropriate freedom.
The nurse is caring for a client with Raynaud's disease. What is an important instruction for a client who is diagnosed with this disease to prevent an attack?
A) Report changes in the usual pattern of chest pain. B) Avoid situations that contribute to ischemic episodes. C) Avoid fatty foods and exercise. D) Take over-the-counter decongestants.
To perform the Weber test, you would first strike the tines of a 512 Hz tuning fork on the ulnar border of the palm of your hand and then place the stem firmly
a. against the middle of the forehead. b. on the patient's jaw. c. on top of the head over the right ear and then repeat over the left ear. d. against the patient's right mastoid process.
Which pain management task can be safely delegated to nursing assistive personnel?
1) Assessing the quality and intensity of the patient's pain 2) Evaluating the effectiveness of pain medication 3) Providing a therapeutic back massage 4) Administering oral dose of acetaminophen