During the initial prenatal visit, the pregnant teenager states that she does not know how she got pregnant. The nurse can help to educate her regarding anatomy by:
1. Allowing her to witness a pelvic exam on another teenager.
2. Encouraging her to ask her mother abut the physiology of pregnancy.
3. Including anatomic models and drawings in the teaching session.
4. Discussing the process of fetal development with the client.
.
3
Rationale:
1. One client is not allowed to be present during another client's visit or exam due to privacy issues and HIPAA.
2. Her mother might not have accurate information, or might be uncomfortable discussing these issues with her teen daughter.
3. To teach the client about anatomy and physiology, as well as to dispel myths she might hold, the nurse should use appropriate medical terminology and refer to models, pictures, and drawings. Offering the client a mirror during the pelvic exam is also helpful.
4. While fetal development is important to understand, discussing it now does not address the client's stated concern.
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Since most medications in pediatrics are calculated based on the child's weight, considerable nursing time is required to verify correct dosages. This time constraint can be a problem in emergent situations
What mechanism can be used to facilitate accuracy of dosing during emergencies? A) Precalculate doses of emergency drugs for each child admitted. B) Estimate child's weight and drug doses in emergencies to save time. C) Use the standard doses from the Pediatric Advanced Life Support recommendations. D) Add a pharmacist to the emergency response team for pediatrics.
Which nursing school served as a model for nursing education?
A. St. Thomas Hospital School of Nursing B. Johns Hopkins Hospital School of Nursing C. Bellevue Hospital School of Nursing D. Yale New Haven School of Nursing
A client with borderline personality disorder has had 21 admissions to the mental health unit, each
precipitated by a suicide attempt, usually resulting in superficial cuts on the arm. On this admission the client has developed a relationship with a highly supportive nurse. The client has progressed to having a pass to spend an afternoon in a nearby shopping mall. The nurse is shocked when the emergency department calls to say that the client had just been brought in with multiple self-inflicted lacerations. The nurse asks a peer, "Why? Everything was going well. How could she do this to me?" What response by the other nurse reflects understanding of the client's borderline disorder? a. "I know what you mean. You put a lot of energy into working with this client. It must be disappointing to have her do something like this.". b. "I could have told you this would happen. A client like this always gets you in the end. I hope this will teach you not to get so involved.". c. "I know the client's behavior seems personal, but it's really not. Clients with borderline disorder act out to relieve anxiety, and I suspect having the pass provoked a great deal of anxiety.". d. "I wonder if all this could have been avoided if I'd clued you in on the client. This is a usual pattern for her. She burned me once, too, when I first worked here.".
The nurse planning a group TV activity in a long-term care facility would choose a channel that offers a(n):
a. cartoon. b. travel documentary. c. dramatic two-part mini-series. d. opera performance.