The nurse is preparing to assess a pregnant client's abdomen. In which order should the nurse complete this assessment?
1. Locate the fetal back
2. Locate the fetal head
3. Determine engagement
4. Identify the fetal part in the fundus
2, 1, 4, 3
Rationale 1: During the second Leopold maneuver the fetal back is located.
Rationale 2: During the first Leopold maneuver the fetal head is located.
Rationale 3: During the last Leopold maneuver the degree of engagement is determined.
Rationale 4: During the third Leopold maneuver the contents of the fundus are identified.
Global Rationale: During the first Leopold maneuver the fetal head is located. During the second Leopold maneuver the fetal back is located. During the third Leopold maneuver the contents of the fundus are identified. During the last Leopold maneuver the degree of engagement is determined.
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Which of the following dietary suggestions would help the client prevent constipation in the future? A) Intake of a high-protein diet C) Intake of a diet rich in potassium B) Intake of dairy products D) Intake of a high-fiber diet
A client experiencing situational depression after the traumatic death of the client's spouse tells the nurse, "Since I started taking a walk every day, I've been feeling better.". The nurse realizes that exercise for this client has:
1. Elevated the client's mood, relieved stress, and helped with focusing on other tasks. 2. Given the client something to do. 3. Improved the client's oxygenation to keep the brain stimulated. 4. Provided a short-term diversion to the pain of losing the spouse.
A patient undergoing chemotherapy complains of nausea and asks the nurse whether there are any complementary and alternative therapies that may help. Which therapy should the nurse recommend to the patient?
a. Green tea b. Acupuncture c. Black cohosh d. Chiropractic therapy
A client is believed to have been exposed to the variola virus while working in a laboratory. What should the nurse assess before administering the vaccination to this client?
Standard Text: Select all that apply. 1. White blood cell count 2. HIV status 3. History of eczema 4. Allergy to antibiotics 5. Blood pressure and heart rate