A client is admitted to the labor and delivery unit with contractions that are regular, are 2 minutes apart, and last 60 seconds. She reports that her labor began about 6 hours ago, and she had bloody show earlier that morning
A vaginal exam reveals a vertex presenting, with the cervix 100% effaced and 8 cm dilated. The client asks what part of labor she is in. The nurse should inform the client that she is in what phase of labor? 1. Latent phase
2. Active phase
3. Transition phase
4. Fourth stage
3
Explanation: 3. The transition phase begins with 8 cm of dilatation, and is characterized by contractions that are closer and more intense.
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The nurse plans and implements care for a patient based on nursing knowledge and skills. The nurse is functioning within which role?
1. Caregiver 2. Advocate 3. Educator 4. Leader
Which of the following certifications are used as designations for case managers?
A. CCM, CIS, CCRN B. CNM, A-CCC, CLCP C. CCM, A-CCC, CAM D. CCM, CDMS, MAC
A patient is demonstrating hypovolemic shock as a result of anaphylaxis from an insect sting. Which of the following should the nurse implement first for this patient?
1. epinephrine 1:1000 0.5 mg sq 2. normal saline at 150 cc/hr 3. Benadryl/diphenhydramine 50 mg intravenously 4. oxygen at 3 liters via nasal cannula
The nurse notes that the primary health-care provider has prescribed that the total parenteral nutrition (TPN) a client has been receiving for the past 10 days be discontinued and changed to 0.9% normal saline
Which action would be most appropriate for the nurse to take? a. Stop the TPN and change the solution to 0.9% normal saline as soon as it is availa-ble. b. Allow the remaining TPN to infuse until the bag is empty and then change the so-lution to 0.9% normal saline. c. Gradually reduce the rate of the TPN over the next 4 to 6 hours and then change the solution to 0.9% normal saline. d. Question the primary health-care provider about the change because the solution is inappropriate.