On examining a patient who gave birth five hours ago, the nurse finds that the patient has completely saturated a perineal pad within 15 minutes. Which action by the nurse should be implemented first?
A) Begin an IV infusion of Ringer lactate solution
B) Assess vital signs
C) Call the health care provider
D) Assess the fundus
Ans: D
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A critical care nurse is caring for a patient in the medical ICU. The patient has been admitted for an overdose. What type of tube would you use to empty the stomach contents?
A) Nasogastric tube B) Levin tube C) Gastric sump D) Orogastric tube
The parents of a 15-month-old child express concern to the nurse about their child's thumb-sucking habit. Which of these explanations related to the child's age and developmental level would be most appropriate for the nurse to give the parents?
a. Thumb sucking at this age indicates a developmental delay and should be further assessed. b. Sucking achieves a pleasing result for infants, and generalizing that action by thumb sucking is normal. c. Thumb sucking at this age demonstrates a transition away from egocentric thinking. d. At this age, thumb sucking will enhance language development.
The nurse recognizes that the goals established for a client's discharge are more likely to be accomplished when
A) the client assists in developing the goals. B) the physician develops the goals. C) the nurse develops the goals. D) the multidisciplinary team develops the goals.
Care should be taken in using and preparing citations. Some nursing journals suggest that there be not more than how many references?
A) 3 B) 5 C) 10 D) 15