After delivery it is determined that there is a placenta accreta. Which intervention should the nurse anticipate?
1. 2 L oxygen by mask
2. Intravenous antibiotics
3. Intravenous oxytocin
4. Hysterectomy
4
Rationale:
1. In placenta accreta, the placenta adheres in varied amounts to the myometrium. Use of oxygen will not assist in the separation of the placenta.
2. In placenta accreta, the placenta adheres in varied amounts to the myometrium. Use of intravenous antibiotics will not assist in the separation of the placenta.
3. In placenta accreta, the placenta adheres in varied amounts to the myometrium. Use of intravenous oxytocin will not assist in the separation of the placenta.
4. In placenta accreta, the placenta adheres in varied amounts to the myometrium. If hemorrhage occurs or the placenta fails to separate, the mother might need a hysterectomy.
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The nurse admits the patient to the postanesthesia care unit (PACU) after hand surgery. The patient is groggy but can respond after receiving conscious sedation and regional anesthesia. Which action by the nurse is priority?
a. Position the head to maintain a patent airway. b. Elevate the affected hand higher than the level of the heart. c. Monitor the circulatory status in the oper-ative hand. d. Measure the core body temperature.
A nurse is trying to provide effective nursing care to poor persons, families, and populations in a variety of settings. Which of the following actions should be taken by the nurse?
a. Move to the area where people are living to understand their plight b. Understand the concept of poverty on many levels c. Take a trip abroad to see how poverty ex-ists in other countries d. Become fully immersed in the concept of poverty for at least a year
A nurse wants to know about the client's self-perception. Which of the following questions will assess for the client's self-perception?
A) "How do you view yourself in regards to your importance both in your job and in your life?" B) "Do you feel people appreciate your accomplishments in your career? Do you like your life?" C) "Can I ask you a question about your life? Are you aware of any failings you have experienced?" D) "People with disabilities often feel threatened in their self-concept. Do you feel threatened?"