The charge nurse has received the shift change report. Which client requires immediate intervention?
1. Woman at 6 cm undergoing induction of labor, strong contractions every 3 minutes
2. Woman at 4 cm whose fetus is in a longitudinal lie with a cephalic presentation
3. Woman at 10 cm and fetus at +2 station experiencing a strong expulsion urge
4. Woman at 3 cm screaming in fear because her mother died during childbirth
4
Explanation: 4. This client is most likely fearful that she will die during labor because her mother died during childbirth. This client requires education and a great deal of support, and is therefore the top priority.
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The Health Insurance Portability and Accountability Act of 1996 (HIPAA) was developed by the Department of Health and Human Services to provide national standards pertaining to transmission and communication of medical information
Which of the following are true about HIPAA (select all that apply)? A. Only applies to electronic chart, not the paper one B. Provides national standards relating to the electronic transmission and communication of medical information between patients, providers, employers, and insurers C. Allows less control on the part of the patient as to what part of health information is disclosed D. Gives the patient immediate access to his/her medical record at any time it is requested E. Eliminates the need for patients to sign informed consents F. HIPAA was implemented in 2003
To assess the muscular tone and texture of the perineum using your dominant hand, you would place your
a. index finger in the urethra and instruct the patient to squeeze the vaginal muscles. b. index finger on one side of the perineum and the thumb on the other. c. thumb anterior to the perineum and index finger posterior to the perineum. d. thumb in the vagina and index finger posterior to the perineum.
A client arrives in the Emergency Department with a barbiturate overdose. The nurse expects which possible outcomes? (Select all that apply.)
Note: Credit will be given only if all correct choices and no incorrect choices are selected. 1. Decreased respirations 2. Increased respirations 3. Death 4. Coma 5. Increased heart rate
The nurse is educating the patient about the significance of islet cell antibodies. Which statement accurately describes islet cell antibodies?
a. Islet cell antibodies cause beta cells to quit producing insulin and lead to type 1 di-abetes mellitus (DM). b. Islet cell antibodies protect beta cells from viral attack. c. Islet cell antibodies increase production of insulin from beta cells. d. Islet cell antibodies decrease the size of the pancreas.