The nurse explains to a client in labor that the fetal heart rate baseline is 150, with accelerations to 165, variable decelerations to 140, and moderate long-term variability
Which statement about the most important part of fetal heart monitoring indicates that the client understands the nurse's teaching? 1. "Presence of variability"
2. "Depth of decelerations"
3. "Fetal heart rate baseline"
4. "Absence of variable decelerations"
1
Explanation:
1. Variability is an indicator of the interplay between the sympathetic nervous system and the parasympathetic nervous system.
2. The depth of decelerations does not indicate central nervous system function.
3. The fetal heart rate baseline does not indicate central nervous system function.
4. Variable decelerations indicate cord compression.
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The nurse is helping the adolescent diagnosed with Crohn's disease choose appropriate foods. The nurse concludes that the client understands the dietary teaching when choosing which of the following?
1. Ice cream, spinach, lean beef, and a tossed salad 2. Milk, chicken, cooked carrots, and an apple 3. Chicken, canned cherries, white rice, and ice cream 4. Dried fruit, canned corn, beef hamburger, and mashed potatoes
A client complains of feeling angry whenever he sees families relating well with one another. During a family group session, the nursing student observes a family member belittling every statement made by the client
The nursing student knows that the client's thinking is often: 1. What leads the client to negative behaviors. 2. Erratic and problematic. 3. Conscious and deliberate. 4. Automatic, without active or conscious effort.
To prevent the patient from removing an endotracheal tube, the nurse's initial intervention will include:
A) Application of soft wrist restraints B) Anesthetizing the patient C) Use of distraction by the family or a television D) Prevention of visitation or stimulation by family members
The wife of a client with dementia tells the nurse that her husband has been agitated lately. She states, "I don't know how to handle this. He was always such a gentle person!" Which of the following interventions should the nurse suggest?
A) Give the client a sedative when he begins to get agitated. B) Distract the client by turning on the television or watching a video. C) Distract the client with family photographs and discuss the events pictured. D) Leave the client in a safe place in the house and go to another area until he calms down.