Answer to Question 1
C
Feedback:
: Nurses can help the nation achieve the 2020 National Health Goals by urging patients to enter pregnancy with an adequate folic acid level. Extreme physical activity, exercise, calcium, and water are not identified interventions to prevent birth defects in the developing fetus.
Answer to Question 2
C
Feedback:
: The patient is at risk for impaired skin integrity related to gastrostomy tube insertion site. Acidic gastric secretions can leak onto the skin from the gastrostomy site, leading to skin irritation. The nurse should plan interventions to protect the skin by using a cream or commercial skin protection system or consult with a wound, ostomy, and continence therapy nurse to reduce the possibility of skin irritation and infection. With the placement of the gastrostomy tube, the patient is at less risk for imbalanced nutrition and deficient fluid volume. The gastrostomy tube will not affect the patient's gas exchange.