A primiparous client is at 42 weeks' gestation. What order should the nurse question?
1. Begin non-stress test now.
2. Return to the clinic in 1 week.
3. Obtain biophysical profile today.
4. Schedule labor induction for tomorrow.
2
Explanation:
1. The non-stress test is a commonly used assessment for the postterm fetus.
2. A postterm pregnancy is high risk. Fetal assessments must be obtained to verify fetal well-being or the need for delivery via induction or cesarean. One week is too long a time period between assessments.
3. A biophysical profile is a commonly used assessment for the postterm fetus.
4. Labor induction is likely to occur with postterm pregnancies because the aging placenta becomes less efficient at transporting oxygen and nutrients and because the risk of fetal macrosomia increases with length of gestation.
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The nurse determines that a patient is in the onset stage of an illness. What did the nurse observe in the patient?
A. The first symptoms of a given problem are experienced. B. There is a gradual resumption of normal roles and activities. C. The sick role becomes that of being a patient. D. The disease is identified and socially sanctioned.
Which of the following situations is an example of moral distress?
a. You hear nurses in the lounge making off-color jokes about a patient. You are afraid to speak up for fear of retaliation. b. You have been late for work a couple of times in the last 2 weeks, and your co-workers are covering for you. c. You become romantically involved with a co-worker, which is against the unit policy, so you resign your position. d. You purposefully use vague language when explaining a patient's condition to the family. Staff expects that the patient may be brain-dead, but test results are not yet conclusive.
The nurse is admitting a 67-year-old patient with new-onset steatorrhea. Which question is most important for the nurse to ask?
a. "How much milk do you usually drink?" b. "Have you noticed a recent weight loss?" c. "What time of day do your bowels move?" d. "Do you eat meat or other animal products?"
The nurse believes that an adequate understanding of arbitration through the traditional collective bargaining unit has been obtained. Which of the following statements supports this belief?
a. "Arbitration is a management technique to discharge an employee.". b. "Arbitration is useful to resolve conflicts having a basis in the labor-management" contract. c. "Arbitration is always used before the formal grievance process.". d. "Arbitration is a process used to establish nursing standards.".