During a vaginal examination, a nurse discovers a loop of prolapsed umbilical cord between the maternal pelvis and the presenting fetal part. What is the nurse’s priority intervention?
1. Noting the anomaly in the patient’s chart
2. Administering oxygen under positive pressure
3. Emptying the patient’s bladder via indwelling catheter
4. Relieving cord compression by pushing back the presenting part
4. Relieving cord compression by pushing back the presenting part
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A client has been taught to restrict dietary sodium. Which food selection by the client indicates to the nurse that teaching has been effective?
a. Chinese take-out, including steamed rice b. A grilled cheese sandwich with tomato soup c. Slices of ham and cheese on whole grain crackers d. A chicken leg, one slice of bread with butter, and steamed carrots
A patient is being admitted after a fall that has caused a painful leg injury. In preparing to interview the patient for a health history, the nurse is initially concerned that
a. the family should be present to help an-swer questions. b. a therapeutic nurse-patient relationship should be established. c. the patient should be free of hearing and vision barriers. d. the patient's pain should be effectively managed.
What are the primary goals of pharmacotherapy for patients diagnosed with schizophrenia? (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected
1. Cure schizophrenia. 2. Reduce psychotic symptoms to a level that allows the patient to maintain normal social relationships. 3. Increase delusional symptoms. 4. Reduce psychotic symptoms to a level that allows the patient to perform self-care. 5. Reduce psychotic symptoms to a level that allows the patient to maintain employment.
A nurse who performs a skin assessment while bathing an immobile client would be displaying:
1. Efficiency 2. Leadership 3. Organization 4. Effectiveness