The nurse has developed a plan of care for a client experiencing dystocia and includes several nursing interventions in the plan. The nurse prioritizes the plan and selects which of the following nursing interventions as the highest priority?
1. Monitoring fetal status
2. Providing comfort measures
3. Changing the client's position frequently
4. Keeping the significant other informed of the progress of the labor
1
Rationale: The priority in the plan of care would include the intervention that addresses the physiological integrity of the fetus. Although providing comfort measures, changing the client's position frequently, and keeping the significant other informed of the progress of the labor are components of the plan of care, fetal status is the priority.
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The nurse knows that a client who has panic attacks when she sees waterfalls because she had been physically assaulted in a park with a waterfall, would benefit from the feature of cognitive and behavioral treatment of:
1. Suggesting alternative behavior. 2. Seeking social support. 3. Reframing. 4. Expressing affection.
A client is admitted with appendicitis and is awaiting surgery. The client states, "Now instead of pain in just one spot, the pain is kind of all over my abdomen." Which action by the nurse takes priority?
a. Assess the client's abdomen. b. Get a set of vital signs. c. Call the physician. d. Prepare the client for another x-ray.
The nurse is preparing information to be included in a community educational presentation regarding gastroesophageal reflux disease (GERD). The decision is made to include the following: Select all that apply
1. GERD is more prevalent in adults over the age of 50. 2. A substantial number of people self-medicate with OTC medications. 3. Control of the symptoms is dependent on a change of diet. 4. A reoccurring sore throat may be a symptom of the disease. 5. Vomiting is a common sign of the disease. Correct
Which neurotransmitters are inhibited in generalized anxiety disorder (GAD)?
a. Acetylcholine b. Serotonin c. Dopamine d. Norepinephrine e. Epinephrine