A patient who is pregnant has used the herb feverfew for a history of migraine headaches. The nurse should provide teaching related to a risk for:

Correct Answer: A

Rationale: The correct answer is A: uterine contractions resulting in possible miscarriage. Feverfew is known to stimulate uterine contractions, which can potentially lead to miscarriage in pregnant women. This risk is especially concerning during the first trimester when the uterus is more sensitive to such stimulants. Uterine contractions can increase the risk of premature labor and miscarriage. Reduced fetal growth (choice B), insomnia (choice C), and tiredness the following day (choice D) are not directly associated with feverfew use during pregnancy. It is crucial for the nurse to educate the patient about the potential risk of uterine contractions and advise against the use of feverfew during pregnancy to ensure the safety of both the mother and the fetus.

Correct Answer: B

Rationale: The correct answer is B because a patient with moderate Alzheimer's disease may have impaired decision-making capacity due to cognitive decline. Patients with Alzheimer's may struggle to understand, remember, and evaluate information needed to make informed decisions. Choice A shows the patient's curiosity, not necessarily a lack of capacity. Choice C indicates family involvement but does not directly address the patient's capacity. Choice D reflects anxiety about decision-making, not necessarily incapacity.

Correct Answer: B

Rationale: Step 1: Suffering and pain are distinct experiences. Pain refers to physical discomfort, while suffering encompasses emotional and psychological distress as well. Step 2: Individuals can experience suffering without physical pain, such as emotional trauma or existential crisis. Step 3: Recognizing the difference between suffering and pain is crucial in providing holistic care in nursing practice. Step 4: Therefore, option B is correct as it acknowledges the separate nature of suffering and pain. Other options are incorrect as they oversimplify or misinterpret the relationship between pain and suffering.

Correct Answer: D

Rationale: The correct answer is D: an aging nursing workforce. This is because as nurses age, many are retiring or reducing their work hours, leading to a shortage of experienced nurses in the workforce. This issue is further exacerbated by the increasing demand for healthcare services due to population growth and aging populations. The other choices are incorrect because: A: Movement of nurses into acute care settings may shift the distribution of nurses but does not directly cause a shortage. B: The use of unlicensed assistive personnel may impact the workload of RNs but is not the primary cause of the nursing shortage. C: While Baby Boomers may have contributed to the overall number of nurses, it does not directly explain the current shortage.

Correct Answer: D

Rationale: Step 1: Identification of the Issue - The situation described in option D directly impacts the safety of nurses by preventing them from changing the sharps container when needed, posing a risk for needlestick injuries. Step 2: Significance of the Issue - Needlestick injuries are a serious occupational hazard for healthcare workers and can result in exposure to bloodborne pathogens, leading to infections such as HIV and Hepatitis. Step 3: Advocacy Relevance - The inability to access the key to change the sharps container compromises the safety of nurses and violates their right to a safe work environment, making it a workforce advocacy issue. Step 4: Reporting to Higher Authorities - If the issue is not resolved at the local level, it should be reported to the state nurses association or the Center for American Nurses for intervention and resolution to ensure the safety of healthcare workers. Summary: Options A, B, and C do not directly relate to workforce advocacy issues that pose a significant risk to nurses' safety. Option