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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a community health nurse is educating a parent about the importance of hepatitis B immunization. which of the following explanations should the nurse give the parent about the disease?
- A. one dose of the immunization gives children lifelong protection from hepatitis B
- B. hepatitis B spreads easily among children through casual contact
- C. many people who acquire acute hepatitis B develop chronic hepatitis
- D. people who have had a hepatitis B infection still need the immunization
Correct Answer: B
Rationale: The correct answer is B: Hepatitis B spreads easily among children through casual contact. This is the most appropriate explanation to give the parent because hepatitis B is primarily transmitted through contact with infected blood or body fluids, making children especially vulnerable due to their frequent interactions. Choice A is incorrect as multiple doses are needed for full protection. Choice C is incorrect as not everyone with acute hepatitis B develops chronic hepatitis. Choice D is incorrect because previous infection does not guarantee lifelong immunity.
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 in the discussion?
- 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: B
Rationale: The correct answer is B. Remaining physically active can help minimize drowsiness and chills associated with initial alcohol withdrawal. Physical activity can help regulate mood, reduce anxiety, and improve overall well-being during withdrawal. It can also distract from cravings and provide a healthy coping mechanism.
Choice A is incorrect because disulfiram is not used to control withdrawal symptoms but rather as a deterrent to drinking by causing unpleasant reactions if alcohol is consumed.
Choice C is incorrect because Al-Anon meetings are for family and friends of individuals struggling with alcohol use disorder, not for the individual themselves.
Choice D is incorrect because learning functional skills is important for long-term recovery but may not specifically address initial withdrawal symptoms.
A nurse is planning priority actions for a community health initiative. Which of the following should be prioritized?
- A. Encourage enrollment and attendance at weight reduction programs.
- B. Educate children at a daycare center about nutrition and exercise.
- C. Distribute health risk appraisal questionnaires at community functions.
- D. Measure the BMI of older adults at a community senior center.
Correct Answer: C
Rationale: The correct answer is C: Distribute health risk appraisal questionnaires at community functions. This is prioritized because it helps identify health risks at a population level, enabling targeted interventions. Choice A focuses on individual weight reduction, not community health. Choice B targets a specific group, neglecting the broader community. Choice D only addresses one aspect of health in a specific population.
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.
nurse expect
- A. oliguria
- B. diplopia
- C. hypoglycemia
- D. dizziness
Correct Answer: B
Rationale: The correct answer is B: diplopia. Nurses expect diplopia in a patient as it can indicate a serious neurological issue or cranial nerve dysfunction. Oliguria (A) refers to decreased urine output, not typically associated with nursing expectations. Hypoglycemia (C) is a metabolic condition, not typically anticipated by nurses. Dizziness (D) can have various causes and is not specific enough to be expected by a nurse.