A client is admitted to the labor and delivery unit with a history of ruptured membranes for 2 hours. This is her sixth delivery; she is 40 years old, and smells of alcohol and cigarettes. What is this client at risk for?
1. Gestational diabetes
2. Placenta previa
3. Abruptio placentae
4. Placenta accreta
3
Explanation: 3. Abruptio placentae is more frequent in pregnancies complicated by smoking, premature rupture of membranes, multiple gestation, advanced maternal age, cocaine use, chorioamnionitis, and hypertension.
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A nursing unit is extremely short staffed. The manager calls a nurse who is on Family and Medical leave (FMLA) to ask the nurse to return to work 2 days prior to schedule. When the nurse declines, the manager becomes insistent
What should be the nurse's first action? 1. Contact a lawyer. 2. Agree to return 2 days early. 3. Contact the human resources director. 4. Contact nursing administration.
A client is preparing to be discharged home after a lengthy admission to the cardiac care unit following a myocardial infarction. What action should the nurse prioritize when preparing to discharge the client?
A) Eliciting the client's feedback about the quality of care he received B) Ensuring that at least two friends or family members will pick up the client C) Providing the client with education about activity and medications D) Ensuring that each individual who provided care is informed about the impending discharge
For a client who is taking an anticonvulsant, the nurse should instruct the client to:
a. document the progress of any seizures. b. take prescribed medications with orange juice. c. adjust medication dosages according to the amount of seizure activity. d. practice conscientious oral hygiene.
Which activity should a nurse select for adolescents who need to maintain a feeling of control?
a. group therapy b. keeping a journal c. individual therapy d. taking a class