An important independent nursing action to promote normal progress in labor is:
a. assessment of the fetus.
b. encouraging urination about every 1 to 4 hours.
c. limiting contact with the woman's partner.
d. regulating intravenous fluids.
B
The bladder can reduce room in the woman's pelvis that is needed for fetal descent and can increase her discomfort.
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The population health nurse is evaluating outcomes for a group of clients based upon the best possible achievable outcome. Which action is the nurse completing?
1. Assessing. 2. Screening. 3. Delegation. 4. Benchmarking.
The nurse is assessing a client with complaints of sudden, intermittent headaches for the past several months. The client states that the headaches come after seeing flashes of lights and experiencing nausea
The nurse would suspect which of the following disorders? 1. Migraine headaches 2. Cluster headaches 3. Tension headaches 4. Increased intracranial pressure
A patient with type 2 diabetes is admitted. He is very lethargic and hypotensive. A diagnosis of hyperglycemic hyperosmolar syndrome (HHS) is made based on laboratory values of
a. decreased serum glucose and increased serum ketones. b. increased urine ketones and decreased serum osmolality. c. increased serum osmolality and increased serum potassium. d. increased serum osmolality and increased serum glucose.
A client presents in the Emergency Department with hallucinations, anxiety, and confusion
The client denies taking any illegal drugs in the past 48 hours. Based upon the assessment data, the nurse is aware that these symptoms can occur from which type of drug? 1. Hallucinogens 2. Barbiturates 3. Cannabinoids 4. Opioids