A pregnant woman is in her third trimester. She asks the nurse to explain how she can tell true labor from false labor. The nurse would explain that "true" labor contractions:
a. Increase with activity such as ambulation.
b. Decrease with activity.
c. Are always accompanied by the rupture of the bag of waters.
d. Alternate between a regular and an irregular pattern.
ANS: A
True labor contractions become more intense with walking. False labor contractions often stop with walking or position changes. Rupture of membranes may occur before or during labor. True labor contractions are regular.
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Several staff nurses are talking about liability insurance at the nurse's desk. Which statement, made by the nurses, reflects an understanding of the purpose of liability insurance?
1. "I was told that the hospital carries liability insurance on its employees, so I don't need to carry my own policy." 2. "I have not gotten insurance because doctors and hospitals get sued more than nurses." 3. "I am a good nurse, and practice safely, so I don't need liability insurance." 4. "I carry my own liability insurance because hospitals can countersue nurses."
A terminally ill client at a health care facility has been referred for hospice care. Which of the following clients is eligible for hospice care?
A) A client with less than 6 months to live B) A client with limited or no support from family and friends C) A client who cannot live independently D) A client requiring high-tech palliative care
The nurse is caring for a dying patient. The family is present. Which action by the nurse is likely to be most therapeutic?
a. Encourage the family to leave the bedside for a break. b. Ask the family to leave while the nurse bathes the patient. c. Tell the family members that the nurse will give the patient good care. d. Involve the family members in the patient's care.
The nurse must complete a focused, physical assessment on a client after coming to the unit from another floor. Before performing the cardiac assessment, the nurse should:
A) Explain the procedure, then wait for permission to continue. B) Ask the client to stay quiet, since the nurse will be listening to the heart. C) Tell the client what the nurse is doing during the assessment. D) Take the baseline vital signs, then determine whether cardiac auscultation is necessary.