A woman with a history of two stillbirths is in the active phase of the first stage of labor in the high-risk OB unit. How often should the nurse anticipate monitoring fetal heart tones (FHTs)?
A.
Continuously
B.
Every 5 minutes
C.
Every 15 minutes
D.
Every 30 minutes
ANS: A
Women with certain complications, including a history of stillbirth, a high-risk pregnancy (preeclampsia-eclampsia, placenta previa, abruptio placentae, multiple gestations, prolonged or premature rupture of the membranes), induction with oxytocin, or a problem with FHT, should have FHT monitored continuously.
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A client presents to the emergency department after prolonged exposure to the cold. The client is difficult to arouse and speech is incoherent. Which action should the nurse take first?
a. Reposition the client into a prone position. b. Administer warmed intravenous fluids to the client. c. Wrap the client's extremities in warm blankets. d. Initiate extracorporeal rewarming via hemodialysis.
A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain
The nurse providing care for the man is explaining that while unpleasant, the inflammation of his appendix is playing a role in his body's fight against the underlying infectious process. Which of the following teaching points should the nurse eliminate from his teaching to the patient? A) "Inflammation can help to remove the body tissue cells that have been damaged by infection." B) "Inflammation will start your body on the path to growing new, healthy tissue at the site of infection." C) "Inflammation helps your body to produce the right antibodies to fight the infection." D) "Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix."
Which of the following is the least likely research tradition to be used by qualitative nurse researchers?
A) Experimental B) Phenomenologic C) Ethnographic D) Grounded theory
A nurse hears a colleague state, "It's actually a myth that older people get sick more often and have a weaker immune response than young people.". How can the nurse best respond?
A) "Even though there are things that older people can do to strengthen their immune system, it naturally does get weaker over time.". B) "It's true; while older adults do suffer from more chronic conditions, they don't become more susceptible to infections as they age.". C) "Actually, function of the immune system becomes weaker with each decade and this decline is not modifiable.". D) "You're right. Characterizing older adults as sickly is an inaccurate stereotype based on ageist ideas.".