The pregnant teen who was prescribed prenatal vitamins at her ...

[saliriagwu]

The pregnant teen who was prescribed prenatal vitamins at her initial prenatal visit states that she does not llike to take them.
 
  How should the nurse respond? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Folic acid has been found to be essential for minimizing the risk of neural tube defects.
  2. You do not have to take these supplements if you think you are healthy enough.
  3. These medications do the same thing. I will call your doctor to cancel one of your medications.
  4. You can trust your doctor to know what you need.
  5. You need the supplements because your dietary intake is not adequate for fetal development.

Question 2

The nurse is caring for a patient who underwent a total abdominal hysterectomy with bilateral salpingo-oophorectomy several hours ago. The highest priority for the nurse is to:
 
  1. Monitor blood pressure and pulse.
  2. Assess the patient's acceptance of not being able to have children.
  3. Teach the patient how to splint her abdomen while taking deep breaths.
  4. Verify that the IV pump is working correctly.

[diesoon]

Answer to Question 1

1,5
Rationale 1: Research has shown such a strong correlation between decreased folic acid/folate intake and the risk of neural tube defects that all women who are considering becoming pregnant are encouraged to begin taking a 400 mcg supplement beginning 2 months before attempting conception and to continue through the first trimester.
Rationale 2: One role of the nurse is educator, and this patient needs additional information on why she needs the supplements.
Rationale 3: One role of the nurse is educator, and this patient needs additional information on why she needs the supplements.
Rationale 4: Therapeutic communication requires addressing the patient's concern, and not giving a cliche for an answer. One role of the nurse is educator, and this patient needs additional information on why she needs the supplements.
Rationale 5: One role of the nurse is educator, and this patient needs additional information on why she needs the supplements.

Answer to Question 2

1
Rationale 1: A postsurgical patient is at risk for internal bleeding at the site of the surgery. Monitoring blood pressure and pulse is necessary to verify that the patient is hemodynamically stable.
Rationale 2: Although this patient will not be able to become pregnant, because of the surgery, acceptance is a psychosocial issue and a lower priority.
Rationale 3: Splinting while deep-breathing is a comfort measure to facilitate oxygenation and prevent atelectasis, but this is not the highest priority.
Rationale 4: The patient needs IV fluids to replace blood loss during surgery and until oral intake is adequate, but this is not the highest priority.

[saliriagwu]

Thank you

[diesoon]

No problemo