A laboring patient complains of nausea, vomiting, and increasing rectal pressure. She states, “I can’t take this anymore.” The nurse correctly assesses that this patient is in which phase of labor?
1. Latent
2. Active
3. Transition
4. Second stage
3. Transition
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A client needed a great deal of care. During a morning visit, the nurse shared information with the client's caregiver and demonstrated technical procedures. Which of the following is most important for the nurse to assess?
a. Client response to the procedures b. How the client thought the goals were being achieved c. If the client and the caregiver retained all the information the nurse gave d. The skill and comfort level of the client's caregiver
A patient in her first trimester complains of nausea and vomiting. She asks, "Why does this happen?" The nurse's best response is
a. "It is due to an increase in gastric motility." b. "It may be due to changes in hormones." c. "It is related to an increase in glucose levels." d. "It is caused by a decrease in gastric secretions."
Which side effect of phenytoin (Dilantin) commonly occurs among children taking the drug?
a. Delayed bone growth b. Darkening of the eyes c. Thickening of the eyelashes d. Thickening of the gum tissues
How should the nurse position the patient to administer nose drops to the maxillary sinus?
a. Sitting upright with the head tilted backward toward the side to be treated b. Supine with a small pillow under the shoulders and the head tilted backward c. Supine with the head tilted backward and turned to the unaffected side d. Head tilted back over the edge of the bed and turned toward the side to be treated