Which clinical consideration should the nurse implement for the client in labor who has been diagnosed with preeclampsia?
A) Place the client in the room closest to the nurse's station, even if it is a shared room.
B) Place the client in left lateral position when the client feels the urge to push.
C) Monitor client's fetus intermittently while client is in first stage of labor.
D) Encourage the client to be alone in the room without family in order to maintain a quiet environment.
Answer: B
A laboring client with preeclampsia is at risk for the development of eclampsia with subsequent seizures. The nurse should place the client in left lateral position when the client feels the urge to push because this position improves circulation to the placenta and fetus. If possible, the nurse should place the client in a private room to promote a non-stimulating environment. However, the client should always have support with her, not be alone during labor. The nurse will monitor the client's fetus continuously during labor.
You might also like to view...
In which stage is the team most productive?
1. Storming 2. Norming 3. Performing 4. Forming
A woman who is nursing a newborn develops postpartum depression and her provider orders sertraline [Zoloft] to treat her symptoms. The patient is concerned about the safety of this medi-cation for her infant
What will the nurse tell her about this medication? a. To stop nursing while taking the medica-tion b. To expect symptoms of colic and poor weight gain in the baby c. That sertraline is safer than other antide-pressants for nursing mothers d. To ask her provider about switching to fluoxetine [Prozac] instead
During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which of the following approaches should the nurse take?
A) "Tell me what makes you think you are gay.". B) "This puts you in an at-risk category.". C) "We need to talk about safe sex.". D) "You're not gay; you're confused.".
The patient is a kinesthetic learner. Which teaching method would be best to teach this patient about his newly prescribed diet?
a. Have him tell the nurse what foods he should eat. b. Show the patient pictures of the foods that are allowed and not allowed on his diet. c. Have the patient plan meals using food models. d. Give the patient a written description of the diet.