A 43-year-old client has just had a positive pregnancy test. She cries, and states, "I just don't know what I'll do. I can't be pregnant." Which nursing diagnosis would be the most appropriate?
1. Decisional Conflict related to unexpected pregnancy
2. Knowledge, Deficient related to advanced maternal age
3. Depression related to unexpected pregnancy
4. Health Maintenance, Ineffective related to advanced maternal age
1
Explanation: 1. Decisional Conflict related to unexpected pregnancy is the most appropriate nursing diagnosis.
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The client states that regular oral hygiene is performed and that she does not understand why this has occurred. Which response by the nurse is the most appropriate? 1. "You may have oral cancer." 2. "You are experiencing a normal change during pregnancy." 3. "You may have leukoplakia." 4. "You need to decrease the frequency of your oral hygiene."
The nurse must carefully monitor the client who is being aggressively treated for DKA for the common, immediate complication of
a. dehydration. b. premature ventricular contractions. c. pulmonary infarction. d. respiratory tract infection.
Systolic blood pressure is determined by
A) listening for the sound to change to a soft muffled thump. B) waiting for the needle to stop bouncing. C) listening for the first clear sound. D) listening for the sound to become louder.
Protecting the public from foodborne disease outbreaks lies solely with local government health agencies.
a. true b. false