The nurse would recommend the use of which supplement as a primary prevention strategy to prevent neural tube defects in pregnant women?
A) Calcium
B) Folic acid
C) Vitamin C
D) Iron
B
Response:
Prevention of neural tube defects in the offspring of pregnant women via the use of folic acid is an example of a primary prevention strategy. Calcium, vitamin C, and iron have no effect on the prevention of neural tube defects.
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The nurse assesses a client's Glasgow Coma Scale (GCS) score and determines it to be 12 (a 4 in each category). What care should the nurse anticipate for this client?
a. Can ambulate independently b. May have trouble swallowing c. Needs frequent re-orientation d. Will need near-total care
When providing discharge instructions regarding circumcision care, the nurse would identify a need for further teaching when the mother says:
a. "I'll make sure to clean away any clear filmy substance that forms on the penis." b. "If any bleeding occurs I'll hold gentle pres-sure on the area and call the pediatrician if it continues." c. "When doing cord care, I'll be careful to avoid any alcohol draining to the circumcision site." d. "I will continue to apply petroleum jelly for a few days to prevent the site from adhering to the diaper."
A nursing diagnosis of Enhanced readiness for spiritual well-being has been formulated for a particular family. Which of the following data clusters would support this diagnosis?
1. The family visits different congregations, the parents have been reflecting on their own spiritual upbringings, and the children are questioning rituals of their friends and friends' families. 2. The children attend Sunday school classes, one parent always attends services with the children, and the parents attempt interaction with congregational activities. 3. The grandparents go to weekly services and have formal interaction with clergy. 4. The children have attended private, religious school, and the parents are involved in the school's activities.
While being assessed, a client with schizophrenia states, "Everywhere I turn, the government is watching me because I know too much. They are afraid that I might go public with the information about all those conspiracies."
The nurse interprets this statement as indicating which type of delusion? A) Grandiose B) Nihilistic C) Persecutory D) Somatic