Nokea
The patient makes the statement: “I’m afraid to take the baby home tomorrow.” Which response by the nurse would be the most therapeutic?
- A. “You’re afraid to take the baby home?”
- B. “Don’t you have a mother who can come and help?”
- C. “You should read the literature I gave you before you leave.”
- D. “I was scared when I took my first baby home, but everything worked out.”
Correct Answer: D
Rationale: The best response by the nurse in this situation would be D. By sharing a personal experience of feeling scared when taking their first baby home, the nurse is empathizing with the patient and offering reassurance that everything worked out in the end. This can help the patient feel understood and less alone in their fear, while also providing hope that things will be okay. It validates the patient's feelings and offers a positive perspective, which can be therapeutic in this situation.
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The nurse is providing care to a 46-year-old female patient. The patient appears hesitant when asked of her sexual history, and the nurse discovers that the patient is a lesbian. What education should the nurse provide to this patient pertaining to her health?
- A. Lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility.
- B. Lesbians often are at higher risk due to lower socioeconomic disparities than their heterosexual counterparts.
- C. Lesbians often refuse choices in health care such as the HPV vaccine as many feel they are not at risk.
- D. Lesbians often have fewer health issues than their heterosexual counterparts due to their strong support systems.
Correct Answer: A
Rationale: The education that the nurse should provide to the lesbian patient pertains to her health includes the fact that lesbians often are at higher risk for menstrual disorders, abnormal insulin production, and infertility. It is important for the nurse to be aware of potential health risks that may affect lesbians specifically, as this knowledge can help in providing appropriate care and interventions. By addressing these specific health concerns, the nurse can promote the patient's overall well-being and empower her to take proactive steps to maintain her health.
The nurse should be cognizant of which postpartum physiologic alteration?
- A. Cardiac output, pulse rate, and stroke volume all return to prepregnancy normal values within 48 hours of childbirth.
- B. Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
- C. Lowered white blood cell count after pregnancy can lead to false-positive results on tests for infections.
- D. Hypercoagulable state protects the new mother from thromboembolism, especially after a cesarean birth.
Correct Answer: B
Rationale: Respiratory function returns to nonpregnant levels by 6 to 8 weeks after childbirth.
What is the minimum level of practice that a reasonably prudent nurse is expected to provide?
- A. Standard of care
- B. Risk management
- C. Sentinel event
- D. Failure to rescue
Correct Answer: A
Rationale: Guidelines for standards of care are published by professional nursing organizations.
A nurse is reviewing the laboratory results for a client who is at 29 weeks of gestation. Which of the following results should the nurse report to the provider?
- A. WBC count 11,000/mm3
- B. Hgb 11.2 g/dL
- C. Hct 34%
- D. Platelets 140,000/mm3
Correct Answer: D
Rationale: A platelet count of 140,000/mm³ is concerning as it is on the lower end of normal and could indicate thrombocytopenia, increasing the risk of bleeding.
Which nursing intervention does not apply to a diagnosis of 'Deficient knowledge' related to conception?
- A. Assess the current level of factors promoting conception.'
- B. Provide information regarding conception in a supportive manner.'
- C. Evaluate the couple's support system.'
- D. Identify and describe the basic infertility tests.'
Correct Answer: C
Rationale: Evaluating the support system is more appropriate for a diagnosis related to ineffective coping rather than knowledge deficits.