A child is being discharged from the hospital after a 3-week stay ...

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A child is being discharged from the hospital after a 3-week stay following a motor vehicle accident.
 
  The mother expresses concern about caring for the child's wounds at home.She has demonstrated appropriate technique with medication administration and wound care. The priority nursing diagnosis is
  1. Knowledge Deficit of Home Care
  2. Altered Family Processes related tohospitalization
  3. Parental Anxiety related to care ofthe child at home
  4. Risk for Infection related to presenceof healing wounds

Question 2

The nurse is returning phone calls from patients. Which patient does the nurse anticipate would not require a serum beta hCG?
 
  1. A patient with a risk of ectopic pregnancy
  2. A patient with spotting during pregnancy
  3. A patient with previous pelvic inflammatory disease
  4. A patient with a previous history of twins

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Answer to Question 1

Answer:3
Rationale: While all of the diagnoses might have been appropriate at some point, the current focus is the mother's anxiety about caring for the child at home. The priority of the nurse is relieving this anxiety.

Answer to Question 2

4
Rationale 1: Patients at risk for developing an ectopic pregnancy are those with a history of a previous ectopic pregnancy and of pelvic inflammatory disease.
Rationale 2: Spotting during pregnancy can indicate ectopic pregnancy, although about one third of women with normal pregnancies also experience spotting.
Rationale 3: Patients at risk for developing an ectopic pregnancy are those with a history of a previous ectopic pregnancy and of pelvic inflammatory disease.
Rationale 4: A previous history of twins is not a risk factor for ectopic pregnancy. Beta hCG testing is not indicated for this patient.

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TYSM

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