The nurse examines a primipara woman who has received an epidural block. The woman's cervix has been dilated at 5 cm for an hour after having shown steady progression earlier. The nurse will notify the provider and anticipate a need for
a. caesarean section.
b. forceps delivery.
c. intravenous oxytocin.
d. vacuum extraction.
ANS: C
Regional anesthetics may slow labor, and therefore the patient may need to be administered a drug to enhance uterine contractions. Intravenous oxytocin is given to stimulate contractions. If oxytocin is not effective, the other measures may be necessary.
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Excellent communication skills are essential for nurses to develop because:
1. Nurses must communicate with all disciplines. 2. All nursing activities occur in relationships. 3. Interpersonal skills get the work done. 4. Communication ensures no problems occur.
Which of the following clients would be considered to have a significant risk of developing the prerenal form of acute renal failure? Select all that apply
A) A 22-year-old male who has lost large amounts of blood following a workplace injury B) A 41-year-old female who is admitted for intravenous antibiotic treatment of pyelonephritis C) A 79-year-old male with diagnoses of poorly controlled diabetes mellitus and heart failure D) A 20-year-old male who is admitted for treatment of an overdose of a nephrotoxic drug E) A 68-year-old male with a diagnosis of benign prostatic hyperplasia (BPH) F) An 80-year-old female who has been admitted for the treatment of dehydration and malnutrition
Which information indicates the nurse has a correct understanding of critical thinking?
a. It is a continuous process characterized by open-mindedness. b. It is the same thing as the nursing process. c. It is a haphazard method of providing nursing care. d. It is moving from writing a plan of care to thinking.
A patient diagnosed with schizophrenia tells the clinic nurse, "I stopped taking my antipsychotic medication two days ago
" Previously, the patient was compliant and had good symptom control. What assessment finding would the nurse expect at this visit? a. Mood instability b. Paranoid delusions c. No evidence of symptoms d. Mental clouding and confusion