A nurse is caring for a pregnant client in the labor unit who suddenly experiences spontaneous rupture of the membranes. On inspecting the amniotic fluid, the nurse notes that it is clear, with creamy white flecks. What is the most appropriate action for the nurse to take based on this finding?
A. Document the findings.
B. Check the client's temperature.
C. Report the findings to the nurse-midwife.
D. Obtain a sample of the amniotic fluid for laboratory analysis.
Ans: A. Document the findings.
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The nurse is caring for a patient who has circumferential full-thickness burns of his forearm? A priority in the plan of care is :
a. Keeping the extremity in a dependent position b. Active and passive range of motion every hour. c. Preparing for an escharotomy as a prophylactic measure d. Splinting the forearm
A prescriber orders ramipril [Altace] for an obese patient with type 2 diabetes mellitus who has developed hypertension. The nurse provides teaching before dismissing the patient home
Which statement by the patient indicates understanding of the teaching? a. "I am less likely to develop diabetic nephropathy when taking this medica-tion." b. "I should check my blood sugar more of-ten, because hyperglycemia is a side effect of this drug." c. "Taking this medication helps reduce my risk of stroke and heart attack." d. "This medication will probably prevent the development of diabetic retinopathy."
The nurse is alert for the symptoms of atelectasis, which include: (Select all that apply.)
a. Grunting b. Intercostal retractions c. Vomiting d. Sweating e. Mottled skin
The SLII® model is divided into two parts:
a. Leadership attributes and follower skills b. Leadership skills and follower development level c. Leadership development levels and follower behaviors d. Leadership style and follower development level