Plans of the health care team with a patient with a sinusoidal FHR pattern may include
A. Administration of an NST
B. Administration of tocolytics
C. Kleinhauer-Betke lab test
Answer: C. Kleinhauer-Betke lab test
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The nurse is performing a nutritional assessment on a 15-year-old girl who tells the nurse that she is "so fat." Assessment reveals that she is 5 feet 4 inches and weighs 110 pounds. The nurse's appropriate response would be:
a. "How much do you think you should weigh?" b. "Don't worry about it; you're not that overweight." c. "The best thing for you would be to go on a diet." d. "I used to always think I was fat when I was your age."
During a bladder training program for a client with spinal cord injury using intermittent catheterization, the client suddenly complains of a throbbing headache
Noting that the client's blood pressure is elevated, the priority action by the nurse is to a. catheterize the client. b. limit fluids for the remainder of the day. c. notify the physician immediately. d. place the client flat in bed.
What do you think is causing this BP reading, which doesn't correlate with the other findings?
You are seeing an older patient who has not had medical care for many years. Her vital signs taken by your office staff are: T 37.2, HR 78, BP 118/92, and RR 14, and she denies pain. You notice that she has some hypertensive changes in her retinas and you find mild proteinuria on a urine test in your office. You expected the BP to be higher. She is not on any medications. A) It is caused by an “auscultatory gap.” B) It is caused by a cuff size error. C) It is caused by the patient's emotional state. D) It is caused by resolution of the process which caused her retinopathy and kidney problems.
The nurse is reviewing with a group of new registered nurses employed by a healthcare agency that several systems of data entry are used. These systems are based on the nursing process, as required by regulatory standards for documentation
The nurse reviews that the healthcare agency uses the focus charting system of data entry. What are examples of the focus charting system? 1 . SOAP 2 . APIE 3 . PIE 4 . DARE A) 1, 2, 3 B) 1, 2, 4 C) 1, 3, 4 D) 2, 3, 4