The clinic nurse uses Leopold maneuvers to determine the fetal lie, presentation and position. The nurse's hands are placed on the maternal abdomen to gently palpate the fundal region of the uterus. This action is best described as the:
A) First maneuver
B) Second maneuver
C) Third maneuver
D) Fourth maneuver
A
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A dark-skinned client was admitted in respiratory distress. When planning to assess for cyanosis the nurse recognizes that:
A) cyanosis in clients with dark skin will need to be checked. B) it is not possible to assess color changes in clients with dark skin. C) cyanosis can be seen on the lips and mucous membranes of clients with dark skin. D) cyanosis will blanch with direct pressure to the soles of the feet in dark-skinned clients.
Which statement by a patient with chronic depression who is prescribed fluoxetine (Prozac) indicates the need for additional teaching?
a. "It may take from 2 to 8 weeks for my depression to improve." b. "If I have suicidal thoughts, I will contact my prescriber immediately." c. "I will check my pulse every day and report irregular rhythms to my prescriber." d. "When I am feeling better and no longer depressed, I will stop taking the Prozac."
The nurse has delegated skin care of a client with uremia to new unlicensed assistive personnel (UAP) on the unit. In order to improve effectiveness of the care given, the nurse plans to:
1. Ask the UAP if the care was given. 2. Ask the client if the care was appropriate. 3. Accompany the UAP the first time and demonstrate care needed. 4. Closely observe the UAP each time the care is given.
A patient wants to discuss birth control options. She is a 36-year-old woman who is in a long-term, monogamous relationship
She runs 2 miles a day but also smokes a pack of cigarettes a day. Which birth control method should the nurse discourage her from using? A) Combination oral contraceptives B) Condoms C) Coitus interruptus D) Spermicides