A gravida 7, para 6 woman is in the hospital only 15 minutes when she begins to deliver precipitously. The fetal head begins to deliver as you walk into the labor room. Your best action would be to
A) place a hand gently on the fetal head to guide delivery.
B) ask her to push with the next contraction so delivery is rapid.
C) assess blood pressure and pulse to detect placental bleeding.
D) attach a fetal monitor to determine fetal status.
A
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After teaching a client with a spinal cord tumor, the nurse assesses the client's understanding. Which statements by the client indicate a correct understanding of the teaching? (Select all that apply.)
a. "Even though turning hurts, I will remind you to turn me every 2 hours." b. "Radiation therapy can shrink the tumor but also can cause more problems." c. "Surgery will be scheduled to remove the tumor and reverse my symptoms." d. "I put my affairs in order because this type of cancer is almost always fatal." e. "My family is moving my bedroom downstairs for when I am discharged home."
An RN has delegated the care of a fresh postoperative client to an LPN. The LPN notifies the RN that the client's vital signs are elevated and the client is dyspneic and complaining of pain. What should the nurse do next?
A. No further action is necessary as the LPN is experienced. B. Request that the LPN offer the client a narcotic analgesic that had been ordered for the postoperative period C. Place a call to the attending surgeon and report that the client is having pain D. Assess the client and analyze the preoperative and perioperative data before calling the surgeon
A nurse realizes that he believes he is the only one who truly understands a particular client and that
other staff are too critical of the client. The nurse has identified a situation known as a. boundary blurring. b. sexual harassment. c. positive regard. d. egalitarianism.
You are caring for a client with shock. You are concerned about hypoxemia and metabolic acidosis with your client. What finding should you analyze for evidence of hypoxemia and metabolic acidosis in a client with shock?
A) Serum thyroid level findings B) Arterial blood gas (ABG) findings C) Red blood cells (RBCs) and hemoglobin count findings D) White blood cell count findings