A high-risk client in labor is having electronic fetal monitoring (EFM). Which of these interpretations should the nurse recognize as normal, requiring no intervention?
a. a baseline rate of 180 bpm c. late decelerations
b. early decelerations d. variable decelerations
A
Baseline rate is the average fetal heart rate during a 10-minute period. The normal rate is 110 bpm to 160 bpm. A rate above 160 bpm is tachycardia, and a rate below 110 bpm is bradycardia.
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Mrs. Singer is a 68-year-old woman, 5 feet tall, 200 lb, admitted to a facility for complications related to her weight. She has lived alone since her spouse died 5 years ago. What is not a component of her rehabilitation?
a. Reduced calorie intake b. Exercise program c. Review of health complications of obesity d. Diet and exercise education
Why is it important for critical care nurses to be aware of antiretroviral therapy (ART) for AIDS patients? Select all that apply
A) To recognize life-threatening toxicities associated with this class of drugs B) To keep the patient from taking these drugs C) To avoid drug interactions between ARTs and other classes of drugs that are common and potentially life-threatening D) To avoid promoting ART drug resistance
Which of the following nursing interventions contributes to achieving a client's pain relief?
A) Minimize the client's description of pain or need for pain relief. B) Collaborate with the client about his or her goal for a level of pain relief. C) Use all forms of available pain management techniques. D) Prevent the client from self-administering analgesics.
Which nursing actions for the care of a dying patient can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN) (select all that apply)?
a. Provide postmortem care to the patient. b. Encourage the family members to talk with and reassure the patient. c. Determine how frequently physical assessments are needed for the patient. d. Teach family members about commonly occurring signs of approaching death. e. Administer the prescribed morphine sulfate sublingual as necessary for pain control.