A pregnant client is admitted at 36 weeks' gestation with documented uterine contractions, ruptured membranes, and a 5-centimeter cervical dilation. The nurse should anticipate the health care provider will:
a. attempt to stop labor by ordering tocolytics
b. make no attempt to stop labor
c. order complete bed rest in the Trendelenburg position
d. start an oxytocin IV to facilitate delivery
B
Preterm labor is labor that begins after viability but before 37 weeks' gestation. No attempt is made to stop the labor if any of the following conditions exist: cervix dilated 4 cm or more, gestational hypertension, hemorrhage, abruptio placenta, fetal complications, or fetal death.
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A 50-year-old woman is to undergo a modified radical mastectomy. The nurse knows that this procedure involves the removal of
a. all breast tissue, chest muscles, and axillary lymph nodes b. all breast tissue and axillary lymph nodes, while preserving the chest muscles c. internal breast tissue only d. the tumor and 2 to 3 centimeters of surrounding tissue
What illness prevented by proper vaccination does this toddler have?
A mother brings her 15-month-old daughter to your office for evaluation of a rash and fever. She says the rash started one day and the fever developed the next day. Her daughter has had all of her vaccinations up to 10 months. The mother sheepishly admits that she hasn't had time to bring her daughter in since her 10-month check-up. On examination you see a mildly sick-appearing toddler with a 102-degree temperature. Looking at her skin you see at least 100 of a variety of papules, vesicles, and ulcers in different stages of development. A) Varicella (chickenpox) B) Measles C) Smallpox
A client with severe schizophrenia is seen monthly by a community mental health nurse for administration of fluphenazine decanoate (Prolixin Decanoate). During one monthly visit, the client refuses the medication
Which nursing intervention is ethically appropriate? A) Telling the client it is his right not to take the medication B) Informing the client that if he does not take his medication he will have to be hospitalized C) Arranging with a relative to add medication to the client's morning orange juice D) Calling for help to hold the client down while the medication is administered
When assisting a child to learn to express personal feelings verbally without hurting a playmate's feeling, the nurse encourages the child to first:
a. play with imaginary friends. b. play the role of the other child. c. avoid competitive games like baseball. d. use nonverbal mannerisms like frowning.