The nurse auscultates the fetal heart rate and determines a rate of 152 . Which nursing intervention is appropriate?
a. Inform the mother that the rate is normal.
b. Reassess the fetal heart rate in 5 minutes because the rate is too high.
c. Report the fetal heart rate to the physician or nurse-midwife immediately.
d. Tell the mother that she is going to have a boy because the heart rate is fast.
A
The fetal heart rate is within the normal range, so no other action is indicated at this time.
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T.i.d
What will be an ideal response?
A skill the nurse can develop to help combat anger is
a. accommodation c. silence b. resilience d. compromise
A living organ donor is 1 hour postoperative after donating a kidney. The critical care nurse caring for the patient notes that the patient is clammy and pale. The nurse knows the patient is exhibiting symptoms of what?
A) Urinary retention B) Shock C) Increased blood pressure D) Normal symptoms of anesthetic administration
A 73-year-old client shares with the nurse that she feels so useless, especially now that arthritis makes her life-long hobby of hand sewing so painful as to make it almost impossible
Which of the following nursing responses is most therapeutic given the client's current poor self-esteem image? 1. "What is it about sewing that makes it so enjoyable for you?" 2. "I'm sure your sewing is beautiful; have you ever considered teaching others to sew?" 3. "Maybe you can find something else that will give you as much satisfaction about yourself." 4. "We can attempt to find the proper pain management plan to minimize the dis-comfort so you can sew again."