A patient at 36 weeks' gestation is reporting continuous, heavy vaginal discharge and pelvic pressure. A nitrazine test confirms PROM with no sign of infection. After being admitted which intervention will the nurse most likely perform?
A) Administer 48 hours of antibiotics IV followed by five days PO
B) Perform daily pelvic examinations to monitor her progress
C) Administer IM corticosteroids to promote fetal lung maturation
D) Administer oxytocin to induce labor
Ans: A
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The couple demonstrates understanding of the consequences of not treating Chlamydia when they state:
1. "She could become pregnant." 2. "She could have severe vaginal itching." 3. "He could get an infection in the tube that carries the urine out." 4. "It could cause us to develop a rash."
A home health nurse explains to a client that the Omaha System was designed to facilitate
a. client understanding of the overall health care plan. b. documentation of unusual events and associated malpractice risks. c. nursing practice, documentation, and data management. d. the nurse's ability to visit more clients during the workday.
Which assessment finding indicates a complication in the client attempting a vaginal birth after cesarean (VBAC)?
a. Complaint of pain between the scapulae b. Change in fetal baseline from 128 to 132 bpm c. Contractions every 3 minutes lasting 70 seconds d. Pain level of 6 on scale of 0 to 10 during acme of contraction
When you assess the client with a new tracheotomy at the beginning of your shift, you observe that the tracheostomy tube is pulsating in synchrony with the client's heartbeat. What is your best action?
A. Notify the physician immediately. B. Stabilize the tube by reapplying the ties. C. Document the observation as the only action. D. Increase the inflation pressure of the tracheostomy cuff.