The nurse is caring for a client diagnosed with a high-risk pregnancy related to multiple pregnancy. An appropriate nursing goal for this client is:
1. Client will carry the pregnancy to full term.
2. Client will relate strategies for prolonging pregnancy and reducing complications.
3. Client will experience no complications related to multiple birth.
4. Client will deliver healthy babies at term.
3
Rationale: While it might be unreasonable to expect that this client will go to full term, depending on the number of babies she is carrying, it is reasonable to make sure she is well informed on how to prolong the pregnancy and take care of herself in order to reduce the risk of complications.
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A patient with mania has not eaten or slept for 3 days. Which nursing diagnosis has priority?
a. Risk for injury b. Ineffective coping c. Ineffective management of therapeutic regime d. Imbalanced nutrition, less than body requirements
A client is being treated with warfarin (Coumadin). The highest priority nursing intervention before administration of the medication is to check the:
a. PTT and APTT. b. PT and INR. c. most current CBC. d. most current platelet count.
The nurse is discussing hygiene issues with a group of mothers with young school-age children
When discussing the topic of head lice (pediculosis capitis), the nurse realizes that the most im-portant motivation for preventing and/or managing this condition is that: 1. The lice may carry various other serious diseases 2. The parasites are extremely difficult to remove and kill 3. The presence of lice typically reflects poor hygiene practices 4. The parasites are easily transferable from one person to another
Which disorders have similar modes of inheritance?
a. Cri du chat syndrome b. Duchenne muscular dystrophy c. Polycystic kidney disease d. Down syndrome e. Becker muscular dystrophy