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a nurse is providing education to a group of adolescents who are pregnant and attending high school. which of the following information should the nurse include in theirteaching?
- A. the need for supplemental folic acid is greatest during the third trimester
- B. the incidence of high birth weight infants is higher in adolescent pregnancy
- C. pregnant adolescent need to gain less weight than adult mothers
- D. caffeinated beverages should be replaced with caffeine-free beverages
Correct Answer: A
Rationale: The correct answer is A because during the third trimester, the baby's neural tube is rapidly developing, making folic acid crucial to prevent birth defects. Choice B is incorrect as adolescent pregnancy is associated with higher rates of low birth weight infants, not high birth weight. Choice C is incorrect as pregnant adolescents need to gain a similar amount of weight as adult mothers to support fetal growth. Choice D is incorrect as moderate caffeine intake is generally considered safe during pregnancy.
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client states my life has no meaning right now.
- A. have you been thinking about harming yourself
- B. how long have you been feeling this way
- C. tell me what is going on with you right now
- D. do you really think your life has no purpose
Correct Answer: D
Rationale: The correct answer is D because it directly addresses the client's statement by reflecting it back to them for clarification. This approach encourages the client to explore their thoughts further and may lead to deeper insights. Choice A is incorrect as it jumps to conclusions about self-harm. Choice B focuses on duration rather than the meaning behind the statement. Choice C is too general and does not specifically address the client's feeling of meaninglessness.
In the last month three cases of tuberculosis have been referred to the health department. Which of the following is the priority information for the community health nurse to obtain from each client?
- A. Demographics.
- B. Household members.
- C. Occupation.
- D. Health history.
Correct Answer: B
Rationale: The correct answer is B: Household members. This is the priority information because tuberculosis is highly contagious and spreads through close contact. By obtaining information on household members, the nurse can assess the risk of transmission within the household and take appropriate measures to prevent further spread of the disease. Demographics (A) may provide general information but do not directly impact the spread of tuberculosis. Occupation (C) may be relevant for identifying potential exposure sources but household contacts are more immediate. Health history (D) is important but does not address the immediate risk of transmission within the household.
A nurse is discussing short and long-term goals with a client who has alcohol use disorder and is being admitted to a treatment facility. Which of the following statements is appropriate for the nurse to include?
- A. You will be taking a once-weekly dose of disulfiram to help control withdrawal symptoms during treatment.
- B. Remaining physically active will help to minimize drowsiness and chills associated with initial alcohol withdrawal.
- C. Attending Al-Anon meetings will help you identify a role model to assist you with making needed changes.
- D. You will begin learning functional skills to replace defense mechanisms and behaviors while in treatment.
Correct Answer: D
Rationale: The correct answer is D because learning functional skills to replace defense mechanisms and behaviors is crucial for long-term recovery from alcohol use disorder. By acquiring healthy coping mechanisms, the client can effectively manage triggers and stressors without resorting to alcohol. This promotes sustained sobriety and prevents relapse.
A is incorrect as disulfiram is not typically used for withdrawal symptoms but rather to deter alcohol consumption by causing unpleasant reactions.
B is incorrect as physical activity may be beneficial, but it does not directly address the underlying issues related to alcohol use disorder.
C is incorrect as Al-Anon meetings are for family and friends of individuals with alcohol use disorder, not for the individuals themselves to seek role models.
Therefore, D is the most appropriate statement as it focuses on building essential skills for long-term recovery.
a parrish nurse is counseling a family following a client’s recent diagnosis of heart disease. which of the following actions should the nurse takefirst?
- A. discuss the benefits of eating a well-balanced diet with the client’s family
- B. assist the client and the clients partner with finding an affordable exercise program
- C. offer to accompany the client and the clients partner during health care provider visits
- D. ask family members about the impact of the disease on relationships within the family
Correct Answer: B
Rationale: The correct answer is B: assist the client and the client's partner with finding an affordable exercise program. This is the first action the nurse should take because regular exercise is essential for managing heart disease. By helping the client and partner to find an affordable exercise program, the nurse is promoting a crucial aspect of heart disease management. This action directly addresses a key component of the treatment plan and supports the client's overall well-being.
Other choices are incorrect because they do not address the immediate need for implementing a lifestyle change to manage heart disease. Choice A focuses on diet, which is important but exercise is the priority. Choice C involves healthcare provider visits, which may be important but not the first step. Choice D addresses relationships, which is relevant but not the immediate priority.
a community health nurse is providing teaching to a group of clients who have alcohol use disorder. which of the following findings should the nurse include in the teaching as a manifestation of alcohol withdrawal?
- A. bradycardia
- B. hypothermia
- C. increased appetite
- D. insomnia
Correct Answer: B
Rationale: The correct answer is B: hypothermia. Alcohol withdrawal can lead to a decrease in the body's ability to regulate temperature, resulting in hypothermia. This is due to alcohol's impact on the central nervous system's ability to regulate body temperature. Bradycardia (A) is not typically associated with alcohol withdrawal; increased appetite (C) is more commonly seen during the acute intoxication phase; insomnia (D) is a symptom of alcohol withdrawal, but it is not a manifestation related to temperature regulation.