The nurse is providing care to a client who lost a pregnancy in the 14th week due to spontaneous abortion
The client is tearful during the assessment process. The nurse states, "These things always happen for a reason. You can always get pregnant again." Which barrier to communication does the nurse's statement represent?
1. False reassurance.
2. Change of subject.
3. Cross-examination.
4. Unwanted advice.
Correct Answer: 1
Statements such as, "These things happen for a reason. You can always get pregnant again" are examples of providing false reassurance to the client. The nurse's statement is not an example of changing the subject, cross-examination, or unwanted advice.
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Which situation reflects a potential ethical dilemma for the nurse?
a. A nurse administers analgesics to a patient with cancer as often as the physician's order allows. b. A neonatal nurse provides nourishment and care to a newborn who has a defect that is incompatible with life. c. A labor nurse, whose religion opposes abortion, is asked to assist with an elective abortion. d. A postpartum nurse provides information about adoption to a new mother who feels she cannot adequately care for her infant.
When teaching the pregnant patient about self-medicating for pain during labor, why did the nurse instruct the patient to avoid taking acetylsalicylic acid?
A) Development of respiratory depression in the newborn B) Interference with the ability to concentrate on contractions C) Interference with blood coagulation with increased risk of bleeding in mother or infant D) Competition with bilirubin-binding sites in fetal circulation increases risk of kernicterus.
Following a successful lumbar puncture, in order to avoid post-procedure discomfort for the patient, the nurse should:
a. Ask the parents to keep the child flat for several hours b. Encourage the child to begin ambulation as soon as possible c. Place the child in the high Fowler's position for several hours d. Place the child in the semi-Fowler's position with knees flexed for several hours
The nurse has completed medication education with the patient who is receiving lithium (Eskalith). What is the priority patient outcome?
1. The patient will be able to work a normal work schedule and will receive adequate sleep. 2. The patient will identify signs of lithium (Eskalith) toxicity and verbalize measures to avoid it. 3. The patient will engage in activities of daily living and report enjoyment with them. 4. The patient will report stabilization of mood, including absence of mania or depression.