The nurse is reviewing amniocentesis with a pregnant client. In which order should the nurse explain the steps that will occur during this procedure?

1. Conduct an ultrasound
2. Fetal heart rate assessed
3. Local anesthetic provided
4. Skin cleansed with antiseptic solution
5. Insertion site observed for fluid streaming
6. 22-gauge needle inserted to withdraw amniotic fluid


1, 4, 3, 6, 5, 2
Explanation:
1. An ultrasound is performed first to identify amniotic fluid pockets.
2. Fetal heart rate is assessed last.
3. A local anesthetic is provided after the skin is cleansed.
4. Skin is cleansed after the ultrasound.
5. Fluid streaming occurs after the 22-gauge needle is removed.
6. A 22-gauge needle is inserted after the local anesthetic.

Nursing

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Which of the following statements is true about insulin and parenteral nutrition? (Select all that apply.)

a. Amount of parenteral insulin is adjusted based on the previous 24-hour laboratory values. b. Insulin may be added to a parenteral nutrition solution. c. Subcutaneous insulin is used on a sliding scale during parenteral nutrition. d. Supplemental insulin is rarely required for patients receiving parenteral nutrition.

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The nurse is collecting a single-voided specimen. The nurse is reviewing the procedure for the amount of urine needed for the specimen. How much urine is needed for the required tests?

A) 30–60 mL B) 60–90 mL C) 90–120 mL D) 120–150 mL

Nursing

The nurse would correctly respond that the etiology of a congenital immune deficiency is due to a(n):

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Nursing