You are in the process of admitted a multiparous woman to labor and delivery from the triage area
One hour ago her vaginal exam was 4/70/0. While completing your review of her prenatal record and completing the admission questionnaire, she tells you she has an urge to have a bowel movement and feels like pushing. Your priority nursing intervention is to:
A) Reassure the patient and rapidly complete the admission.
B) Assist your patient to the bathroom to have a bowel movement.
C) Assess the fetal heart rate and uterine contractions.
D) Perform a vaginal exam.
D
Perform a vaginal exam.
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A nurse is working with a client diagnosed with insomnia. When developing a teaching plan for the client, which sleep promotion intervention would the nurse implement first?
A) Encouraging the client to consider stopping smoking B) Instructing the client to keep regular bedtimes and rising times C) Encouraging the client to take frequent naps D) Administering prescribed sleep medications
A nurse is making a home visit to a couple with three children who are caring for a chronically ill aging parent who has become physically disabled. Which statement by the couple would the nurse interpret as potentially affecting family function?
A) "My dad is very set in his ways and likes things done just so." B) "Our children enjoy having their grandfather here with them." C) "We have someone come in weekly so the 5 of us can do something together." D) "He's taken care of us before, so now it's our turn."
Several cycles of chest compressions have failed to remove a foreign body airway obstruction in an unresponsive infant. Your next action should be to:
A) perform laryngoscopy and try to visualize the foreign body. B) continue chest compressions and perform a cricothyrotomy. C) open the infant's airway and sweep the infant's mouth with your finger. D) perform back slaps and chest thrusts and then look in the mouth.
A patient tells the nurse, "My belly feels as if a watermelon is stuck in it" when describing his pain. What is the best way to document this?
a. Patient's abdomen is distended. b. Patient feels bloated. c. Patient has acute pain related to distended abdomen. d. Patient states his "belly feels as if a watermelon is stuck in it."