The charge nurse is looking at the charts of laboring patients. Which patient is in greatest need of further intervention?
1. Multip at 7 cm, fetal heart tones auscultated every 90 minutes
2. Primip at 10 cm and pushing, external fetal monitor applied
3. Multip with meconium-stained fluid, internal fetal scalp electrode in use
4. Primip in preterm labor, external monitor in place
1
Rationale 1: During active labor, the fetal heart tones should be auscultated every 30 minutes; every 90 minutes is not frequent enough.
Rationale 2: External monitoring can be done instead of auscultation of the fetal heart tones during labor.
Rationale 3: Meconium-stained amniotic fluid is not an expected finding. Internal fetal monitoring with the internal fetal scalp electrode is often utilized when meconium-stained amniotic fluid is present.
Rationale 4: External monitoring during preterm labor will assess both contractions and fetal status.
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Convert 4250 milligrams to an equivalent amount in grams
1. 42.5 g 2. 4.25 g 3. 0.425 g 4. 0.0425 g
A patient has been prescribed metformin for treatment of type 2 diabetes. Which teaching would the nurse provide? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply
1. "You are likely to have one or two episodes of hypoglycemia while your body adjusts to this medication.". 2. "If you need any diagnostic testing that requires radiocontrast dye, be certain to report that you are taking metformin.". 3. "You may have mild stomach upset at first when taking this medication.". 4. "Take this medication just before you begin to eat.". 5. "You may develop a persistent cough while taking metformin.".
The order is to infuse 1300 mL in 8 hours using a 20 gtt/mL set. Calculate the gtt/min to the nearest whole number
What will be an ideal response?
A psychiatric nurse whose area of practice is tertiary prevention of mental illness is asked to describe the focus of this type of practice. The nurse can best describe it as:
a. enriching the understanding of mental illness. b. preventing mental illness from occurring initially. c. limiting disability related to an episode of mental illness. d. increasing community awareness of the symptoms of mental illness.