A woman in active labor, 5 centimeters dilated with ruptured membranes, had an epidural inserted 20 minutes ago. Which of the following nursing assessments is highest priority?
A) Check her blood pressure q 15 minutes.
B) Check her temperature q 1 hour.
C) Palpate her bladder q 15 minutes.
D) Auscultate her lungs q 1 hour.
A
Check her blood pressure q 15 minutes.
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An infant was born at 34 weeks' gestation and is being treated in the NICU for apnea of prematurity. The infant is in an isolette with an apnea monitor and intravenous fluids
The apnea monitor sounds, and the nurse checks the infant to find the infant is not breathing. The initial intervention by the nurse would be to: 1. Administer oxygen. 2. Perform back blows and chest thrusts. 3. Call a code. 4. Stroke the infant's back.
A conceptual system, according to King, provides
A. A basis for communication. B. Reasonable limits for goal setting. C. Boundaries for communication. D. Structure of a discipline.
A third-grader feigns illness in order to avoid doing homework. The teacher recommends an educational program that uses a token economy. How should a school nurse explain a token economy to this child's parent?
A. "Your child will receive green tokens for completing homework that can be cashed in for desired rewards." B. "Your child will receive red tokens when homework is incomplete and this will result in school suspension." C. "Your child will receive a time out for each homework assignment not completed." D. "Your child, with your assistance, will envision receiving rewards for completed homework."
The nurse uses touch to comfort clients who are in pain. Which of the following should the nurse be aware of when using this technique?
A) Touch is an effective, welcome nursing intervention in all cultures. B) The use of touch is appropriate in most cultures. C) The use of touch varies greatly upon culture. D) Touch is an expected nursing intervention regardless of culture.