An OB nurse is caring for a young client who is in labor. The nurse learns the client is not married and is hesitant to name the father of the fetus. A male visitor has come to visit the client. The nurse questions the visitor and is concerned
Which of the following behaviors would cause concern? 1. The father is claiming paternity.
2. The client very anxious with the male present.
3. The visitor is very close and in the nurse?s personal space regarding the status of the client.
4. The visitor is inquiring about a medical-surgical client and is acting in an odd manner.
3
Explanation: 1. Law enforcement personnel recommend watching for these behaviors: clenched fists, blank
stare, fighting stance, arms raised in a fighting position and standing too close or advancing
toward you.
You might also like to view...
Who is actively engaged in clarifying the scope of practice for unlicensed workers and delegation parameters for RNs?
1 . Hospitals 2 . Federal government 3 . Professional nursing organizations 4 . Regulatory bodies A) 1, 2 B) 1, 4 C) 2, 3 D) 3, 4
The nurse palpates a mass while conducting the physical assessment of the patient's breast. How should the nurse document the mass located in the position provided in the diagram?
A) Mass located in the Tail of Spence B) Mass located in the 8 o'clock position C) Mass located in the lower inner quadrant D) Mass located in the 2 o'clock position
Dopamine is ordered to be administered IV at the initial rate of 5 mcg/kg/min., and may increase by 1 mcg/kg/min. to a maximum of 10 mg/kg/min. The solution is mixed 400 mg Dopamine in 250 mL normal saline. The client weighs 50 kg
Calculate the initial flow rate in mL/hr and construct a titration table for this order.
Which classification of prescription is often used as a first-line treatment for depression due to their safety profile?
A. Monoamine oxidase inhibitors (MAOIs) B. Beta-adrenergic blockers C. Tricyclic antidepressants (TCAs) D. Selective serotonin reuptake inhibitors (SSRIs)