The laboring client presses the call light and reports that her water just broke. The nurse's first action should be to:
A. Check fetal heart tones.
B. Encourage the mother to go for a walk.
C. Change the bed linen.
D. Call the physician.
A
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A patient in the emergency department needs an emergency operation. The patient refuses to consent and wants the nurse to call a respected elder in the community for consent. What action by the nurse is best?
a. Explain that this violates privacy laws. b. Call the elder to get consent for the operation. c. Tell the woman she has the right to consent. d. Arrange for admission without the operation.
It is important to include sexuality in a comprehensive assessment of older persons because:
a. changes occur with normal aging that may impact performance b. older adults still engage in sexual intercourse c. changes in sexual preference in later life often pose conflicts d. a and b
A community health nurse is writing an objective. Which of the following would be most appro-priate for the nurse to write?
a. Each member of the family will give an insulin injection to the client with accurate dosage 100% of the time for 10 consecu-tive trials. b. The client will perform a blood sugar test on herself with an accurate blood sugar reading. c. The community will take their children to receive immunizations within 1 month of the immunization due date. d. Fifty percent of the eligible women seen in the clinic will return for their scheduled mammogram appointment.
A nurse is conducting a developmental screening to assess for domain-specific development, in-cluding gross and fine motor skills. Which developmental screening tool would the nurse most likely use?
a. Pediatric Symptom Checklist b. Ages and Stages Questionnaire c. Parents' Evaluation of Developmental Status d. Denver II