The nurse is assessing a pregnant patient who is 26 weeks gestation. The patient reports a change in fetal activity. Which is a possible reason for this assessment finding? Select all that apply
1) Fetal distress
2) Intrauterine fetal demise
3) Preterm labor
4) Infection
5) Hyperemesis gravidarum
ANS: 1, 2
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A teenage girl wishes to obtain birth control and is interested in a diaphragm. What advice does the nurse provide?
A. Good choice because it is cheap B. Good choice because it is easy to use C. Poor choice because it is not effective D. Poor choice because it requires planning
In preparation for a transesophageal echocardiography, the nurse must:
A) Instruct the patient to drink 1 liter of water before the test. B) Heavily sedate the patient C) Inform the patient that blood pressure (BP) and electrocardiogram (ECG) monitoring will occur throughout the test. D) Inform the patient that an access line will be initiated in the femoral artery.
The emergency department (ED) has seen an increase in violent behavior over the past year. The manager has voiced concerns to the CNO (chief nurse officer) regarding the safety of the ED staff. What should be done to address this issue?
1. The manager should consult with local law enforcement. 2. The CNO should review and revise the management of violent incidents procedure policy. 3. The CNO should discuss the matter with local law enforcement. 4. The manager should discuss the matter with the ED staff.
The nurse is assessing a patient new to the clinic. The patient says she is allergic to penicillin. What would be the nurse's appropriate next action?
A) Ascertain the exact nature of the patient's response to the drug. B) Document the patient is allergic to penicillin. C) Mark the patient's chart in red that she has a penicillin allergy. D) Continue to assess the patient for other allergies.