Indications for a primary cesarean birth are often nonrecurring. Therefore, a woman who has had a cesarean birth with a low transverse scar may be a candidate for vaginal birth after cesarean (VBAC). Which clients would beless likely to have a successful VBAC?
a. Lengthy interpregnancy interval
b. African-American race
c. Delivery at a rural hospital
d. Estimated fetal weight <4000 g
e. Maternal obesity (BMI >30)
Answer:
b. African-American race
c. Delivery at a rural hospital
e. Maternal obesity (BMI >30)
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While providing patient education for a patient newly diagnosed with Parkinson's disease and his or her family, the nurse will explain that Parkinson's disease is characterized by what?
A) Reduced cognitive function B) Abnormalities in stature C) Postural instability D) Reduced nerve transmission
A client with a UTI is experiencing dysuria. The nurse would expect which of the following to be prescribed?
A) Nitrofurantoin (Macrodantin) B) Oxybutynin (Ditropan) C) Sulfamethoxazole/trimethoprim (Bactrim) D) Phenazopyridine (Pyridium)
A patient with a history of depression and suicidal ideation is taking fluoxetine [Prozac]. The patient reports difficulty maintaining sleep and is prescribed secobarbital [Seconal] as a seda-tive-hypnotic
The nurse preparing this patient for discharge from the hospital will: a. contact the provider to suggest an order for ramelteon [Rozerem]. b. instruct the patient to use alcohol in mod-eration. c. request an order to change to trazodone [Desyrel] for sleep. d. suggest that the patient try alternative re-medies for sleep.
When making IV rounds, the nurse finds redness, swelling, and warmth at a client's IV site. The client states the IV "hurts and burns." The nurse's first action is to
a. culture the IV site and cannula. c. document the IV site appearance and client statements. b. follow the facility's protocol. d. teach the client to notify her at the first sign of discomfort or swelling.