Which should the nurse recognize as being associated with fetal compromise?
a. Active fetal movements
b. Fetal heart rate in the 140s
c. Contractions lasting 90 seconds
d. Meconium-stained amniotic fluid
ANS: D
When fetal oxygen is compromised, relaxation of the rectal sphincter allows passage of meconium into the amniotic fluid. Active fetal movement is an expected occurrence. The expected FHR range is 120 to 160 bpm. The fetus should be able to tolerate contractions lasting 90 seconds if the resting phase is sufficient to allow for a return of adequate blood flow.
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The nurse is part of a planning committee developing a disaster response plan for a hospital that serves as the major trauma center for the local area
The committee has identified that the most likely cause of a disaster in the community is a devastating tornado that significantly damages most major structures, including hospitals of all sizes, in the community. What component of the plan is least likely to be realistic? A) Transfer all noncritical patients to smaller hospitals in the community. B) Provide for secure storage of emergency supplies and equipment. C) Agree with other hospitals in town to share supplies and equipment. D) Interface with the city disaster management plan and command center.
When taking a medication history on a patient why should the nurse ask about the use of complementary or alternative therapies?
A) Patients starting on new drugs are usually not compliant with medical regimens. B) Many drug-alternative therapy interactions can cause serious problems. C) Natural products may be more effective and the prescribed drug may not be needed. D) The cost of the drug and the alternative therapy may be too expensive for the patient to handle.
A patient is prescribed cyclophosphamide (Cytoxan) for treatment of lymphoma. What should the nurse instruct to maximize the health status of the patient while receiving this medication?
Select all that apply. 1. Avoid eating spicy foods. 2. Discuss approaches to manage hair loss. 3. Identify approaches to reduce bone pain. 4. Brainstorm ways to manage constipation. 5. Ingest 2 to 3 liters of fluid during treatment.
The nurse understands that communication is a vital component of the human experience. People communicate in order to
a. express their wishes b. respond to others c. define themselves and find meaning in their interactions with the world around them d. voice their opinions