Author Question: A pregnant adolescent client asks for information about the pregnancy and the baby because she ... (Read 72 times)

asan beg · **on:** Jun 25, 2018

A pregnant adolescent client asks for information about the pregnancy and the baby because she cannot afford to prenatal care. Which action by the nurse is the most appropriate?

A) Provide the client with information on resources to assist with medical care during the pregnancy and after delivery.
B) Instruct the client on aspects of pregnancy, fetal development, and labor and delivery.
C) Ask the client if her parents are aware that she is pregnant and if she is covered by their medical insurance.
D) Tell the client that the father of the baby is responsible to pay for medical care for her during the pregnancy and after delivery.

Question 2

The nurse is examining a client with congestive heart failure (CHF) who is prescribed propranolol and furosemide. The client complains of fatigue and an inability to finish tasks. Which conclusion by the nurse is the most appropriate?

A) The medication needs adjustment.
B) The client has not been exercising.
C) The client is experiencing normal findings for the disease process.
D) The client should be hospitalized.

kiamars2010 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

Poverty and low education levels are associated with adolescent pregnancy. The nurse should support the client by providing information on resources to assist with medical care during the pregnancy and after delivery. The nurse should not instruct the client on all aspects of the pregnancy, including fetal development, labor, and delivery, as this can be overwhelming to the client. The nurse should not ask the client if the parents are aware of the pregnancy nor tell the client that the baby's father is responsible for her medical care; these actions do not address the client's needs.

Answer to Question 2

Answer: C

CHF and the drugs prescribed for it cause the client to be fatigued. Although this would be considered abnormal in most clients, it is expected in the client with CHF. The client does not need to be hospitalized for fatigue. Fatigue is not an indication that the medication needs adjusting. A lack of exercise would not cause the client to experience fatigue severe enough to prevent the completion of tasks.