The obstetrician opts to use a vacuum extractor for a delivery. The nurse understands that:
1. There is little risk with vacuum extraction devices.
2. There should be further fetal descent with the first two pulls.
3. Traction is applied between contractions.
4. The woman often feels increased discomfort during the procedure.
2
Rationale 1: The risk of complications rises with the use of a vacuum extraction device.
Rationale 2: There should be further descent with the first two pulls on the vacuum extractor, which will indicate there is nothing holding the fetus back.
Rationale 3: Traction should be applied with contractions to maximize the effort.
Rationale 4: The woman often feels only slight pressure during a vacuum extraction if she has adequate regional anesthesia.
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The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH) who is experiencing urinary retention. Which goal is the most appropriate for this client?
A) The client will increase fluid intake to at least 2-3 liters daily. B) The client lists over-the-counter medications to be avoided. C) The client will voice an understanding of the importance of the use of antiembolic stockings and compression devices. D) The client will use a T-binder or scrotal support properly.
An infant was born prematurely at 25 weeks' gestation. Due to lung immaturity, the baby has been exposed to prolonged oxygen therapy
The nurse should explain to the parents that their infant is at a higher risk for what condition due to the oxygen therapy? A. Visual impairment B. Hypocalcemia C. Cerebral palsy D. Sensitive gag reflex
The nursing instructor is teaching students how to apply for a job. Which of the following is recommended?
A) Spend at least 2 hours a day in the job search. B) Set a goal for number of contacts per day. C) Use networking skills instead of classified ads to find openings. D) Do not over plan the interview by practicing for difficult questions.
A registered nurse flown in to help with a disaster was feeling very tired, irritable, and anxious. In addition, the nurse seemed to be having difficulty concentrating and making decisions. Which of the following is the most likely cause of such feelings?
a. The close involvement in the disaster, which has traumatized the nurse as well b. The knowledge that the nurse cannot meet all of the needs of the flood victims c. The realization that the nurse cannot undo the damage of the flood d. The recognition that the nurse is not adequately compensated for working this hard