Appropriate nursing strategies for the nursing diagnosis Risk for ...

[dollx]

Appropriate nursing strategies for the nursing diagnosis Risk for Situational Low Self-Esteem related to unanticipated pregnancy would include:
 
  1. Assist the adolescent with her decision-making and problem-solving skills.
  2. Encourage the adolescent to allow her parents to make the important decisions regarding her well-being and that of her baby.
  3. Help the adolescent to think first of her baby's needs, then of her own.
  4. Encourage the teen to think of the present and not to be so concerned about the future.

Question 2

The nurse is completing discharge teaching for a client who delivered 2 days ago. Which statement by the client indicates that further information is required?
 
  1. Because I have a midline episiotomy, I should keep my perineum clean.
  2. I can use an ice pack to relieve some the pain from the episiotomy.
  3. I can take ibuprofen (Motrin) when my perineum starts to hurt.
  4. The tear I have through my rectum is unrelated to my episiotomy.

[vickybb89]

Answer to Question 1

1
Rationale 1: The nurse assists the adolescent with her decision-making and problem-solving skills so that she can proceed with her developmental tasks and begin to assume responsibility for her own as well as her newborn's life.
Rationale 2: Actively involving the young woman in her care gives her a sense of participation and responsibility. Leaving important decisions to her parents would not promote a healthy self-esteem.
Rationale 3: Adolescents tend to be egocentric, and even if they realize that their health-related behaviors affect their fetus, they might not feel that this is important. In light of this, it is often more helpful to emphasize the effects of these practices on the patient herself.
Rationale 4: Because of adolescents' immature cognitive development, they need help in visualizing themselves in the future and in imagining what the consequences of their actions might be.

Answer to Question 2

4
Explanation: 4. This statement is incorrect. The major disadvantage is that a tear of the midline incision may extend through the anal sphincter and rectum.

[dollx]

Correct answers!

[vickybb89]

Great! Please up vote