The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching has been effective?
1. "When a client arrives in labor, a urine specimen is obtained by catheter to check for protein and ketones."
2. "When a client arrives in labor, she will be positioned supine to facilitate a normal blood pressure."
3. "When a client arrives in labor, her prenatal record is reviewed for indications of domestic abuse."
4. "When a client arrives in labor, a vaginal exam is performed unless birth appears to be imminent."
4
Explanation: 4. Unless delivery seems imminent because the client is bearing down or contractions are very close and strong, the vaginal exam is performed after the vital signs are obtained.
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A nurse should anticipate that a patient taking Vasotec, an angiotensin-converting enzyme (ACE) inhibitor, should have which positive outcome to this drug?
a. Increased fluid retention b. Decreased blood pressure c. Decreased urine output d. Increased appetite
A patient asks the nurse why being NPO for 6 to 8 hours before a contrast study is necessary. Which response by the nurse is most accurate?
a. "Decreasing the hydration status decreases the chance of an allergic response to the contrast medium.". b. "Excessive hydration causes dilution of the contrast medium, which does not per-mit as clear a picture of the area as needed.". c. "It reduces the chance of postprocedure infection.". d. "Nausea is prevented if the stomach is empty.".
When caring for a psychiatric client, a formal contract is made with the client during which phase of the nurse-client relationship?
A) Intimate phase B) Orientation phase C) Working phase D) Termination phase
The nurse is caring for a patient taking a cholinergic agent. When auscultating lung sounds, the nurse notes inspiratory and expiratory wheezing bilaterally. The best action for the nurse to take would be to
a. provide the next dose of the cholinergic agent immediately. b. assess heart rate and blood pressure. c. reposition the patient. d. withhold the next dose and notify the physician.