While in labor a patient with a prior history of cesarean birth complains of light-headedness and dizziness. The nurse assesses the patient and notes an increase in pulse and decrease in blood pressure from the vital signs 15 minutes prior. What might the
A) Uterine rupture
B) Hypertonic uterus
C) Placentae previa
D) Umbilical cord compression
Ans: A
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A nurse wants to assess a client's level of anxiety in order to determine how much of an anti-anxiety drug to administer prior to performing a painful dressing change for a deep tissue burn
Which question would give the nurse the most accurate assessment of the client's level of anxiety? 1. Are you ready for this change of dressing? 2. Did you find the medication helpful that you received before the dressing change yesterday? 3. How are you feeling today? 4. On a scale of one to five, with one being none and five being panic, can you rate your level of anxiety right now?
In performing an examination of a 3-year-old child with a suspected ear infection, the nurse would:
a. Omit the otoscopic examination if the child has a fever. b. Pull the ear up and back before inserting the speculum. c. Ask the mother to leave the room while examining the child. d. Perform the otoscopic examination at the end of the assessment.
The nurse educator knows the approach that helps a client develop insight is aligned with which of the following theories?
1. Cognitive behavioral theory 2. Psychoanalytic theory 3. Social–interpersonal theories 4. Medical–psychobiologic theory
The patient has been diagnosed with an acute inferior myocardial infarction. What 12-lead ECG changes does the nurse expect to find after several hours?
A) ST segment elevation and large Q wave in leads II, III and aVF B) ST segment depression and wide QRS in leads II, III, and aVR C) ST segment elevation and large Q wave in leads V1–V4 D) ST segment depression and large S wave in leads V2–V4