At 31 weeks' gestation, a patient with a history of preterm
birth reports cramps, vaginal pain, and low, dull backache accompanied by vaginal discharge and bleeding. The cervix is 2.1 cm long; there is fetal fibronectin in her cervical secretions, and the cervix is dilated 3 to 4 cm. For what should the nurse prepare this patient?
A) Bed rest and hydration at home
B) Hospitalization, tocolytic therapy, and IM corticosteroids
C) An emergency cesarean section
D) Careful monitoring of fetal kick counts
Ans: B
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On the way to surgery, a patient expresses doubt about proceeding with the planned procedure. The patient states that the doctor did not explain it very well and she would like to talk to her again before starting the procedure
The nurse knows the surgery schedule is very tight, reassures the patient that everything will be all right, and administers the preoperative sedation. This scenario describes what possible type of negligence? a. Assessment failure c. Implementation failure b. Planning failure d. Evaluation failure
The patient you are caring for has just returned to the unit after having kidney surgery. How would you assess this patient's circulatory status? (Mark all that apply.)
A) Monitor arterial or central venous pressure B) Increase extent of support system C) Monitor drainage from incision and drainage tubes D) Assess skin color and urine output E) Decrease perception of pain and discomfort
Prescribed is 750 mL of IV fluids to infuse in 10 hours. The nurse should program the IV infusion pump for:
a. 10 mL/hr c. 100 mL/hr b. 75 mL/hr d. 150 mL/hr
When caring for clients receiving oral hypoglycemic agents, the nurse must understand their mechanism of action. For example, glitazones act to:
a. block the breakdown of starches. b. sensitize the body to the insulin that is currently present. c. stimulate insulin release in the pancreas. d. assist the pancreas in the production of insulin.