The nurse is evaluating the expected outcomes of care for a pregnant adolescent. For the evaluation, the nurse will ask: Note: Credit will be given only if all correct and no incorrect choices are selected. Select all that apply
1. Was a trusting relationship developed?
2. Did the adolescent explore financial options open to teen parents?
3. Did the adolescent make plans for continuing her education?
4. Can the adolescent problem-solve?
5. Did the adolescent follow recommendations?
1,4,5
Rationale 1: A trusting relationship must be developed with the adolescent patient.
Rationale 2: Expected outcomes for the nursing care of a pregnant adolescent do not include exploring financial options.
Rationale 3: Expected outcomes for the nursing care of a pregnant adolescent do not include making plans to continue education.
Rationale 4: The adolescent must be able to appropriately problem -solve.
Rationale 5: The adolescent must follow the recommendations of the healthcare team to deliver a healthy baby.
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The nurse is teaching a nutrition class with a group of student nurses. One of the students asks why the meat and meat exchange list is divided into four subgroups. Which of the following is the most appropriate answer?
A) It is divided due to protein content. B) It is divided due to fat content. C) It is divided due to cholesterol content. D) It is divided due to minerals content.
Which nursing action could the registered nurse (RN) working in a skilled care hospital unit delegate to an experienced licensed practical/vocational nurse (LPN/LVN) caring for a patient with a permanent tracheostomy?
a. Assess the patient's risk for aspiration. b. Suction the tracheostomy when needed. c. Teach the patient about self-care of the tracheostomy. d. Determine the need for replacement of the tracheostomy tube.
A nurse plans interventions to promote wellness in older adults. Which of the following interventions is most appropriate to meet this goal?
A) Talking with the physician about available treatment options for an older adult with an acute illness B) Facilitating early mobilization to prevent muscle wasting and loss of function in an older hospital client C) Deferring the final decision regarding an older adult's choice of assisted living facility to the person's son and daughter D) Placing a 76-year-old on the waitlist for a kidney transplant
A patient with psoriasis has been using a high-potency glucocorticoid. Because of skin atrophy, the provider has ordered a switch to calcitriol (Vecta), a vitamin D3 analog. What will the nurse teach this patient?
a. "Calcitriol causes severe photosensitivity." b. "Itching, erythema, and irritation are indications of an allergic reaction." c. "Systemic effects do not occur with this topical agent." d. "You may apply calcitriol to all areas of the skin except the face."