A pregnant teenager asks the clinic nurse why she cannot smoke during the first trimester. Remembering growth and development, what is the nurse's best response?
A. "The distribution of body hair can be altered."
B. "The organ systems are beginning to develop."
C. "Development of fingers and toes can be affected."
D. "The sex of the baby is determined in the first 3 months."
B
During the first trimester, fetal cells differentiate and develop into essential organ systems. During the second trimester most organs are complete and able to function. During the third trimester, skin thickens, lanugo disappears, and central nervous system is established.
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The nurse is applying a warm moist compress to the client's right calf. Prior to putting the compress in place, which action by the nurse is the most appropriate?
1. Turn the client onto the left side. 2. Encourage the client to toilet and perform any actions that would require removal of the compress. 3. Turn the client onto the right side. 4. Elevate the head of the bed.
In caring for the patient who has a coagulopathy, the nurse should: (Select all that apply.)
a. assess fluids for occult blood. b. observe for oozing and bleeding and remove clots that form. c. limit invasive procedures. d. take temperatures rectally to increase accuracy. e. weigh dressings to assess blood loss.
Pain is considered to be the "fifth vital sign." How does this principle affect patient care?
a. It ensures that pain assessment occurs on a regular basis for all patients. b. It helps health care workers understand that experiencing pain can change heart rate and respiratory rate. c. It helps health care workers to ensure that vital organ function is adequate before administering drugs to reduce pain. d. It encourages health care providers to assess two parameters during patient contact to improve time management.
The unit manager on 4E is concerned about the performance of Jean, a staff nurse. She is not involved directly with Jean, so she has not been able to determine whether the problem is one of motivation, ability, or both
If Jean lacks ability, which of the following strategies might the head nurse use? a. Dismiss or transfer Jean. b. Document all problem areas and then discuss them with Jean. c. Develop appropriate solutions and make recommendations to Human Resources. d. Smooth over the problems if they are minor in nature.