A nurse interviews a pregnant woman regarding health maintenance behaviors. Which statement made by the patient best demonstrates the need for further teaching?
a. "I've been taking extra doses of vitamin A, because I heard it will make my skin look very nice."
b. "If I get a headache or my back hurts, I usually take two acetaminophen (Tylenol) tablets and rest for a while."
c. "I have had diabetes for many years. Since I've been pregnant, I've noticed that I need a little more insulin every day."
d. "I should avoid all cigarettes and alcoholic beverages while I'm pregnant."
A
Taking vitamin A in excess may produce multiple defects (CNS, craniofacial, cardiovascular, and others) and should be discouraged in the pregnant patient; further education is required.
Acetaminophen is generally safe to take per the doctor's orders; no further education is required.
The diabetic pregnant female may require extra insulin, because her metabolic demands are in-creased during pregnancy, especially during the third trimester; no further education is required.
The patient should avoid cigarettes and alcoholic beverages during pregnancy; no further educa-tion is required.
You might also like to view...
A client describes being depressed, out of control, and unable to make decisions
Upon assessment, the nurse determines that the client has recently experienced a fire at home in which many important files as well as family mementos were destroyed. Many things that were not totally burned were water damaged. The nurse knows that identifying the origin of the crisis: 1. Motivates the client and family to take significant action in relationships. 2. Promotes an increased opportunity for interventions to be effective. 3. Decreases communication with significant others. 4. Assists with identifying the level of grief.
Which of the following methods can be incorporated when planning training programs that may alleviate anxiety among the staff? Select all that apply
1. Hands-on demonstration 2. Bulletin board messages 3. Use of tent cards 4. Review of newsletter articles 5. Administrative role modeling
The nurse understands that Rh0(D) immune globulin is administered:
a. to Rh-negative mothers after delivery of an Rh-positive infant. b. to Rh-positive mothers after delivery of an Rh-negative infant. c. to Rh-positive mothers only following abortion of an Rh-negative infant. d. to Rh-negative mothers only following abortion of an Rh-negative infant.
The nurse advises the patient with chronic pyelonephritis that he should:
a) Increase fluids to 3 to 4 L/24 hours to dilute the urine. b) Limit his fluid intake to 1.5 L/day to minimize bladder fullness, which could cause backward pressure on the kidneys. c) Decrease his sodium intake to prevent fluid retention. d) Decrease his intake of calcium rich foods to prevent kidney stones.