A woman is in labor. The fetus is in vertex position. When the client's membranes rupture, the nurse sees that the amniotic fluid is meconium-stained. The nurse should immediately:
A. Change the client's position in bed.
B. Notify the physician that birth is imminent.
C. Administer oxygen at two liters per minute.
D. Begin continuous fetal heart rate monitoring.
D
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A patient being medicated with haloperidol for over 4 weeks has started to display symptoms of involuntary movements of the mouth that resemble chewing. Of the following extrapyramidal adverse reactions, the client is showing signs of:
A. Dystonia. B. Akathisia. C. Drug-induced Parkinsonism. D. Tardive dyskinesia.
A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively
With which patient should the nurse be most alert for alterations in cardiac or cerebral electrical conductivity and fluid and electrolyte imbalance? The patient receiving: a. lithium (Lithobid). b. clozapine (Clozaril). c. fluoxetine (Prozac). d. venlafaxine (Effexor).
Roxie had been sober for 6 months. Last week, her best friend came to visit and they celebrated with five gin and tonics. Roxie has experienced
1. repose. 2. relapse. 3. withdrawal. 4. detoxification.
The nurse is preparing to assess a patient who reports abdominal pain as 6 on a scale of 0 to 10. To best facilitate the abdominal assessment, what nursing action is indicated?
1. First medicate the patient for the pain. 2. Palpate the patient's abdomen last. 3. Assist the patient into the knees-bent supine position. 4. Encourage the patient to take slow, deep breaths.