The perinatal nurse assesses Patty while she is immersed in a water-filled tub during active labor. The assessments used to determine the effectiveness of the hydrotherapy would include:
Select all answers that apply:
A) Fetal heart rate
B) Maternal blood pressure
C) Maternal temperature
D) Uterine activity
A, C, D
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A client is 1 day postoperative after a coronary artery bypass graft. What nonpharmacologic comfort measures does the nurse include when caring for this client? (Select all that apply.)
a. Administer pain medication before ambulating. b. Assist the client into a position of comfort in bed. c. Encourage high-protein diet selections. d. Provide complementary therapies such as music. e. Remind the client to splint the incision when coughing.
A Caucasian patient and an African-American patient are exhibiting signs of jaundice. Which of the following signs did the African-American patient exhibit? Select all that apply
A) Yellow tone to skin B) Yellow-greenish color of soles of feet C) Yellow color of hands D) Yellow-greenish color of palms of hands E) Yellow-greenish color of skin F) Yellow-greenish color of hair
A long-term care facility is committing to a restraint-free environment. What will the health care workers implement to encourage this environment? (Select all that apply.)
a. Frequent orientation to surroundings b. Explain all procedures and treatments c. Discourage visitors d. Maintain toileting routines e. Minimize exercise and ambulation
The family becomes distressed when the dying 85-year-old patient becomes delirious and laughs and talks with old friends who have long since died. The nurse's best intervention would be to:
a. medicate the patient with the prescribed sedative. b. encourage a family member to talk to the patient calmly. c. stimulate and reorient the patient. d. suggest the family leave the patient for while.