The most appropriate nursing action for the client complaining of continuous headache 24 hours postpartum after a normal vaginal birth is to:
a. encourage bed rest.
b. administer analgesic.
c. assess blood pressure.
d. assess for pitting edema.
ANS: C
The first indication of preeclampsia is usually hypertension. Continuous headache indicates poor cerebral perfusion and may be a precursor of seizures; encouraging bed rest, administering an analgesic, and assessing for edema are not interventions to determine the source of the client's headache.
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Which statement indicates a reason why the parallel structure in hospitals is being used less frequently?
1. Parallel structure causes complex relationships. 2. Newer models of organizational structure exist. 3. Parallel structure creates two lines of authority. 4. Parallel structure calls for increased authority of medical staff.
A nurse is planning an in-service on preventing infection for the hospital staff nurses on a medical-surgical unit. Which nursing intervention is most effective in reducing the risk of infections?
A) Raising the temperature in the client's room B) Assessing vital signs once daily C) Wearing a mask for client care D) Performing hand hygiene
The nurse is providing care to a client who has a history of chronic obstructive pulmonary disease (COPD) who wants help and information regarding nicotine addiction and ways to quit smoking
After providing education to this client regarding smoking cessation, which statement indicates appropriate understanding of the information presented? A) "I will keep a pack of cigarettes in my closet in case I need it." B) "I will taper off smoking gradually." C) "I will chew sugar-free gum when I want a cigarette." D) "I will eat a snack when I am feeling nervous."
Which environment can assist a pregnant teen to achieve the task of establishing a stable identity?
a. Home schooling b. Alternative education program c. School-based mothers' program d. Continuing mainstream high school classes