The nurse is assessing a pregnant patient at 32 weeks' gestation. The patient reports difficulty sleeping at night because of back pain. Which recommendation may improve the patient's comfort while sleeping?
1) Sleep on stomach
2) Sleep with head elevated on two pillows
3) Lie on left side with legs and back supported by pillows
4) Lie flat on back with legs fully extended
ANS: 3
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Which client should the Labor and Delivery nurse care for first?
1. 26-year-old primip with a history of depression stating that she knows she can't labor successfully and will need a cesarean 2. 28-year-old multip with a diagnosis of schizophrenia who is oriented to person, place, time, and location 3. 24-year-old primip diagnosed six years ago with bipolar disease who is moving constantly and refusing to lie in the bed 4. 30-year-old multip with an anxiety disorder who experienced tachycardia and tachypnea on the last shift
The nurse knows that the dehydration in diabetic ketoacidosis stimulates catecholamine release, which results in
a. decreased glucose release. c. decreased cardiac contractility. b. increased insulin release. d. increased gluconeogenesis.
The nurse is caring for an oncology patient who is vomiting. When writing a plan of care for this patient, what would be an appropriate nursing diagnosis?
A) Risk for injury related to cardiovascular effects B) Deficient knowledge regarding motion sickness C) Decreased cardiac output related to cardiac effects D) Acute pain related to constipation
Which is an expected finding of a client's cardiovascular assessment of the fifth intercostal space at the midclavicular line?
1. S3 2. PMI 3. Murmur 4. Visible pulsations