The pregnant 16 year old is seeing the nurse during a prenatal visit. Based on the patient's developmental level, which statement would the nurse expect the patient to make?
1. "My friends and I all wear totally different styles of clothing."
2. "Having a baby will change my college plans."
3. "I drink alcohol at parties most weekends."
4. "My mom is my best friend."
3
Rationale 1: Early and middle adolescents conform to group standards by wearing the same types of clothing that friends wear.
Rationale 2: Late adolescence (18–19) is when the ability to think about the future develops, including understanding the impact that a baby will have on acquiring education.
Rationale 3: Middle adolescence (15–17) is a time of experimentation, including drinking alcohol, using other drugs, and smoking.
Rationale 4: From early adolescence on, friends have an increasingly important role in the search for independence, which includes friends' replacing parents as the primary source of support.
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A child has been diagnosed with Ewing sarcoma and is being started on a chemotherapy protocol. The mother questions the nurse on why more than one drug is being used as it would seem that using fewer drugs would decrease the side effects
The best response by the nurse would include the information that: 1. The child's cancer is a severe form and needs additional drugs to remove the cancer. 2. A protocol is a proven means of treatment. 3. A protocol is used in children but not adults due to the chemotherapy's effect on growth. 4. A protocol involves a group of drugs that work in different modes and have different side effects.
A nurse completes the Pediatric Fall Risk Assessment on a patient who scores a 9. Which intervention by the nurse is most important to include on the care plan?
A. Allow independent ambulation around the unit. B. Maintain forced bedrest with restraints if necessary. C. Provide assistance with transfers and ambulation. D. Use two individuals at all times for mobility.
Which stage of grief may last up to 2 years?
a. Disorientation b. Shock and numbness c. Reorganization d. Searching and yearning
A variety of drugs are used either alone or in combination to provide relief of postpartum pain. Which of the following would be an option for pain relief?
1. Nonsteroidal anti-inflammatory agents 2. Proquad 3. Methergine 4. Intravenous oxytocin