The woman in labor should be encouraged to use the Valsalva maneuver (holding one's breath and tightening abdominal muscles) for pushing during the second stage. Is this statement true or false?
Indicate whether the statement is true or false
F
The woman should actually be discouraged from using the Valsalva maneuver. This
activity increases intrathoracic pressure, reduces venous return, and increases venous
pressure. During the Valsalva maneuver, fetal hypoxia may occur. The process is reversed
when the woman takes a breath.
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The nurse manager is assessing safe medication administration in preparation for the Joint Commission's (TJC) visit to the hospital. Which observed action is not recommended according to the TJC's National Patient Safety Goals?
A) Labeling all medicines that will be administered to the client appropriately B) Using extra caution with blood thinners C) Taking care when recording client medicine information D) Allowing the client to keep home meds at the bedside for use while in the hospital
A child, aged 4 years, has been referred to the mental health clinic for evaluation of hyperactive,
impulsive behaviors. At the first visit nursing staff begin observing and assessing his behavior in the play area. What developmental task should the child have achieved? a. Forming satisfactory relationships with peers b. Separation from parents and ability to socialize outside the family c. Ability to establish goals d. A sense of autonomy
The nurse is caring for a patient admitted with thermal burns. The nurse will plan to monitor the patient closely over the next 2 to 3 days for development of which most serious complication?
1. Pain 2. Burn shock 3. Continuation of the burn process below the level of obvious injury 4. Hypervolemia
The emergency department with nausea, vomiting, and abdominal pain. ABG results reveal a pH of 7.2 and a bicarbonate level of 20 mEq/L
A patient newly diagnosed with diabetes mellitus is admitted to What other assessment findings should the nurse anticipate in this patient? Select all that apply. 1. tachycardia 2. weakness 3. dysrhythmias 4. Kussmaul respirations 5. cold, clammy skin