Answer to Question 1
B
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The patient is taking herbal remedies and over-the-counter medications, many of which can be teratogenic to the developing fetus. This is the most appropriate nursing diagnosis for the nurse to select for this assessment finding. There is no enough information to determine if the fetus is at risk because of the patient's lifestyle choices. The patient has not asked for specific information so health-seeking behavior diagnoses would not be appropriate for the patient at this time.
Answer to Question 2
A
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A Chemical eye burns are an ocular emergency and best managed by immediate
irrigation of the eye(s) with water or normal saline solution.
B Topical steroids usually are applied after irrigation.
C Caring for a frightened child is very difficult. Pain medication may help the child
cope with the situation, but the initial care is irrigation.
D Further treatment may include the use of medications to dilate the pupils to
decrease the risk of adhesions.
Measuring Patient Height
Patient teaching: vascular assessment
A goniometer is used to measure range of motion of the patient’s arm.
Assisting a falling patient.
Variations Affecting Health Care Among Different Cultures
Climate History