A nurse is caring for an adolescent client who is pregnant with their second child and is experiencing anxiety. Which of the following statements should the nurse make?

"Tell me more about how you are feeling about this pregnancy."

"Clients are usually happy about a second pregnancy."

“You will feel better when you have your first ultrasound."

"Let's focus on how you are feeling physically."

Answer and Explanation

The Correct Answer is A

Rationale:

A. "Tell me more about how you are feeling about this pregnancy.": This open-ended, therapeutic statement encourages the adolescent to express her thoughts and emotions. It shows empathy and supports trust-building, which is essential in managing anxiety and promoting emotional well-being.

B. "Clients are usually happy about a second pregnancy.": This response generalizes experiences and dismisses the client’s individual feelings. It may cause the client to feel misunderstood or pressured to conform to others' expectations.

C. "You will feel better when you have your first ultrasound.": This statement minimizes the client’s current emotional state and assumes that reassurance will come from a future event, which may not address the underlying anxiety.

D. "Let's focus on how you are feeling physically.": While physical symptoms are important, this response deflects from the client's expressed emotional concern. It can shut down conversation about her psychological well-being, which is the main issue presented.

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Correct Answer is C

Explanation

Rationale:

A. "Your child can return to school once the fever has subsided.": The absence of fever does not indicate the child is no longer contagious. The child can still transmit the varicella-zoster virus until all lesions have crusted, even if fever has resolved.

B. "Your child can return to school after a negative titer result.": Titer testing is not used to determine contagiousness in active varicella infection. It is typically used to confirm immunity, especially after vaccination or past exposure.

C. "Your child can return to school once the lesions have crusted over.": Varicella is contagious until all lesions have crusted, which usually occurs about 5–7 days after the onset of rash. Crusting marks the end of the infectious period, making it safe for the child to return to school.

D. "Your child can return to school 24 hours after beginning antibiotics.": Varicella is a viral illness, not treated with antibiotics unless there is a secondary bacterial infection. Antibiotics do not impact the contagious period of the viral illness.

A. "Decrease your intake of cranberry juice." B. "Limit your fluid intake to 500 milliliters per day." C. "Plan to urinate every 3 hours while you are awake." D. "Take your diuretic medication with your evening meal."

Correct Answer is C

Explanation

Rationale:

A. "Decrease your intake of cranberry juice.": Cranberry juice is not known to worsen urge incontinence. It is more commonly used for urinary tract health. There is no need to reduce it unless the client finds it personally irritating.

B. "Limit your fluid intake to 500 milliliters per day.": Severely restricting fluids can lead to dehydration and concentrated urine, which may irritate the bladder and worsen incontinence. Adequate hydration is essential for bladder health.

C. "Plan to urinate every 3 hours while you are awake.": Scheduled voiding helps retrain the bladder by establishing regular emptying times and reducing urgency. Over time, this improves bladder control and reduces incontinence episodes.

D. "Take your diuretic medication with your evening meal.": Diuretics should be taken in the morning to avoid nocturia and sleep disturbances. Evening dosing increases the risk of nighttime incontinence due to increased urine production during sleep.

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A nurse is caring for an adolescent client who is pregnant with their second child and is experiencing anxiety. Which of the following statements should the nurse make?

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