A patient's cervix is 8 cm dilated and she is 100% effaced. What action by the nurse is most important at this time?
A.
Allow the support person to be at the bedside.
B.
Encourage the woman to bear down.
C.
Have the woman avoid pushing at this time.
D.
Instruct the woman to rest between contractions.
ANS: C
Pushing against a partially dilated cervix can lead to cervical edema and damage and can adversely affect the progress of the woman's labor. It is most important to protect the patient from injury. Encouraging rest between contractions and allowing the support person at the bedside are also important, but safety comes first.
You might also like to view...
The nurse is talking to a group of young adults about decreasing the risk for skin cancer. A young woman asks the nurse about the safety of ultraviolet light tanning salons. Which response by the nurse is most appropriate?
A) "Using tanning beds without clothing contaminates skin and leads to infections." B) "Tanning from ultraviolet light is safer than sunshine." C) "Using sunscreen will prevent skin cancers, even in tanning beds." D) "Skin damage from ultraviolet light is more likely than from indirect sunlight."
A patient with a history of depression who has a pacemaker tells a nurse, "I want to receive transcranial magnetic stimulation (TMS) to help with my depression. Do you think that's possible?" Which is the nurse's best response?
a. "I really can't assess whether or not you are a likely candidate for the treatment, but I'll share your interest with your health care provider.". b. "Of course. Individuals who were willing to volunteer for groundbreaking treatments are so courageous.". c. "TMS may be effective for depression, and it is safe for patients with an implanted pacemaker like you.". d. "This treatment is far too experimental for a patient with your complex health problems.".
Which is the fastest growing healthcare expenditure in the United States?
A) Healthcare technology B) Hospital care C) Outpatient treatment and surgery D) Prescription medications
A patient who has been receiving clindamycin for 10 days develops profuse diarrhea and abdominal pain and has a temperature of 101.2° F. The nurse suspects that the patient has an infection caused by C. difficile
The nurse would expect the prescriber to order a. penicillin G. b. vancomycin (Vancocin). c. tetracycline (Sumycin). d. azithromycin (Zithromax).