A pregnant patient is 5 cm dilated, 80% effaced, and 0 station
Contractions are increasing to every two to three minutes, lasting 50 seconds. The patient is increasingly uncomfortable, apprehensive but appropriate and focused on breathing and relaxation. Which nursing diagnosis should the nurse use to guide the patient's care at this time?
A) Risk for altered tissue perfusion related to breathing techniques
B) Impaired gas exchange related to prolonged contractions
C) Acute pain related to advanced progress of labor
D) Ineffective individual coping related to fear and anxiety
Ans: C
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A patient is receiving a medication that has difficulty crossing the blood–brain barrier. What type of healthy neuroglia does an intact blood–brain barrier indicate?
A) Microglia B) Astrocytes C) Neurons D) Oligodendroglia
A nurse obtains a blood pressure reading on a 5-year-old client. While the client is in good health, has been cooperative, and appears to be calm, the reading is higher than normal for a child this age. Which of these actions should the nurse take?
a. Assess the need for a larger cuff. b. Use a smaller cuff. c. Recheck the blood pressure again at the end of the assessment. d. Report this finding to the health care provider immediately.
The nurse preparing a teaching plan for a 20-year-old woman who is taking sulfasalazine (Azulfidine) for Crohn's disease will include that this drug will: (Select all that apply.)
a. make the patient photosensitive. b. interfere with effectiveness of oral con-traceptives. c. decrease the effect of hypoglycemic agents. d. turn the urine orange. e. cause GI upset.
Of the characteristics listed below, those labeled with numbers ____________________ are associated with risk factors for cerebrovascular accident. (Your answer should appear as numbers separated by commas and spaces [e.g., 1, 2, 3, 4].)
1. Excessive alcohol intake 2. Smoking 3. Eating large amounts of smoked foods 4. Obesity 5. Atherosclerosis 6. High blood pressure