Narcotic analgesia is administered to a laboring client at 10:00 a.m. The infant is delivered at 12:30 p.m. What would the nurse anticipate that the narcotic analgesia could do?
1. Be used in place of preoperative sedation
2. Result in neonatal respiratory depression
3. Prevent the need for anesthesia with an episiotomy
4. Enhance uterine contractions
2
Explanation: 2. Analgesia given too late is of no value to the woman and may cause neonatal respiratory depression.
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A 54-year-old African American man has presented for a follow-up appointment shortly after being diagnosed with hypertension and being placed on an angiotensin-converting enzyme (ACE) inhibitor
The nurse takes the patient's vital signs at the beginning of the appointment and obtains a blood pressure of 177/96 mm Hg. What factor should the nurse consider in light of the patient's sustained high blood pressure? A) The patient's culture may not prioritize taking a medication on a regular basis. B) Biologic variations may be influencing the effectiveness of the medication. C) The patient's culture may not acknowledge "symptom-free" problems such as blood pressure. D) The patient's diet may be negatively affecting the effectiveness of the medication.
The nurse is caring for a client following breast reconstruction surgery using autogenous tissue. When assessing an wounds from the surgical procedure, in which area would the nurse assess the wound from which tissue was taken?
A) The vastus lateralis B) The rectus femoris C) Gluteus maximus D) Rectus abdominis
The nurse caring for a patient who has peritonitis and has developed a paralytic ileus assesses that the patient is passing gas. The assessment is an indication of:
a. gas forming in bowel contents. b. the result of forceful vomiting. c. returned peristalsis. d. inadequate decompression.
The selection of subjects in the three historical 1950 studies conducted in Stirling County, Midtown Manhattan, and Baltimore was different from previous investigations because participants were:
a. chosen at random from the community b. chosen at random from the psychiatric population c. selected from incarcerated individuals d. representative of the country at large