The nurse is caring for a 15-year-old on the postpartum unit who ...

[Bob-Dole]

The nurse is caring for a 15-year-old on the postpartum unit who is also being treated for a sexually transmitted disease.
 
  As part of the discharge planning, the nurse suggests that the client be referred to which of the following agencies after discharge? 1. A day care center to care for the baby
  2. A home health care agency
  3. The Centers for Disease Control and Prevention
  4. Planned Parenthood

Question 2

The nurse is caring for a client with asthma who is sitting in bed with the head elevated 30 degrees and is having trouble breathing effectively.
 
  The nurse has read a number of research articles indicating that a 70-degree elevation to the bed is more effective in reducing dyspnea than is a 30-degree elevation. The nurse elevates the head of the bed to 70 degrees, and the client breathes more easily. The nurse has demonstrated use of: 1. Nursing theory.
  2. Nursing diagnosis.
  3. Evidence-based practice.
  4. Goal setting for the client.

[HandsomeMarc]

Answer to Question 1

4
Rationale 1: The services of Planned Parenthood include offering education about sexually transmitted diseases, as well as confidential treatment regarding birth control without notifying the adolescent's family. The day care will offer no follow-up or educational information for the teen. The CDC is an agency that provides broad surveillance of many diseases but does not provide direct client care, and a home health care agency would provide nursing care for the mother and baby.

Answer to Question 2

3
Rationale 1: The nurse is using information from past research with positive client outcomes to solve a current client problem, which is evidence-based practice. The nurse did not use any particular theory to solve the client problem. A nursing diagnosis states the problem, and goal setting involves establishing an outcome to be met by the client, which was not demonstrated in this scenario, although it might have influenced the nurse's action.

[Bob-Dole]

Gracias!

[amandalm]

Excellent