The doctor performs a pelvic examination on the woman in labor and informs her that the baby is in the footling breach position. When the physician leaves the room, the client asks the nurse what that means. The nurse's best response includes:
1. The buttocks are presenting first, with the feet flexed on the abdomen.
2. The buttocks are presenting first, with the feet close to the head.
3. The head and one foot will present first.
4. One or both feet are presenting first.
4
Rationale: A footling breach indicates one or both of the feet will present first. This increases the risk to the baby, who will deliver the biggest part of the body last, and might get stuck, so attempts might be made to turn the baby, or a cesarean section might be indicated.
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A client who has been receiving naloxone suddenly starts grimacing and moaning, moving his arms back and forth across his body, and drawing his legs up to his abdomen
Prior to administration the client was sleepy and calm. Assessment reveals that his respiratory rate is 18 breaths per minute. Which nursing diagnosis would most likely apply? A) Acute Pain B) Impaired Spontaneous Ventilation C) Deficient Knowledge D) Ineffective Coping
The nurse teaches the client about measures to prevent constipation. What does the nurse teach the client? Select all that apply
1. Do not take fiber supplements with juice or coffee. 2. Take diphenhydramine doses with a laxative. 3. Take psyllium-seed preparations with a full glass of water. 4. Calcium-carbonate should be taken separate from other medications. 5. Take any narcotic doses with a stool softener or laxative.
Which manifestation is the nurse likely to assess in the patient with chronic venous insufficiency (CVI)?
A) Sacral edema B) Thinning of the skin on the calves C) Leg pain that worsens with elevation D) Pain in the legs that worsens with standing
The physician prescribes cromolyn (Intal) for the client with asthma. The nurse identifies that the client correctly understands the purpose of this medication when the client states that the medication will:
1. Suppress an allergic response. 2. Promote bronchodilation. 3. Decrease the risk of infection. 4. Eliminate the need for a rescue inhaler.