A female client with rheumatoid arthritis has taken Rheumatrex (methotrexate) for the past year to control her symptoms. The client comes to the clinic and tells the nurse that a home pregnancy test was positive
What is the nurse's best response? a. "You need to schedule a prenatal ap-pointment with your obstetrician right away."
b. "Stop taking Rheumatrex immediately. I'll tell the physician you are pregnant."
c. "Continue taking the Rheumatrex, and increase the dose if you have a flare."
d. "See a genetic counselor to determine whether your baby will have rheumatoid arthritis."
B
Rheumatrex is highly teratogenic and should not be taken during pregnancy. A prenatal ap-pointment should be made right away, but the first priority is to stop taking methotrexate. Genet-ic counseling is not appropriate because the counselor will not be able to determine whether the baby will develop rheumatoid arthritis.
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A) once a day. B) twice a day. C) every 4 hours around the clock. D) every 2 hours during waking hours.
The nurse is providing care to a client diagnosed with type 2 diabetes mellitus. The client wishes to take Communion but must fast for one hour prior to receiving it. Which action by the nurse is most appropriate?
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Which of the following statements made by the nursing student indicates an accurate under-standing of culturally competent care?
a. "It means having knowledge of the health-related beliefs and practices of all cul-tures." b. "It is the ability to care only for individuals from one's own culture." c. "It means working within the cultural context of individuals, families, and com-munities." d. "It means avoiding discussing the patient's practices or beliefs because they may not agree with your own."
Performing an abdominal assessment, a nurse notes tenderness while lightly palpating a client's right lower quadrant. The nurse determines that this finding is most likely associated with which of the following anatomic structures?
A. Liver B. Spleen C. Pancreas D. Appendix