The nurse determines that a client is carrying her fetus in the vertical (longitudinal) lie
The nurse's judgment should be questioned if the fetal presenting part is which of the following? Note: Credit will be given only for all correct choices and no incorrect choices. Select all that apply. 1. Sacrum
2. Left arm
3. Mentum
4. Left scapula
5. Right scapula
2, 4, 5
Explanation: 2. A fetus with an arm presenting is likely in a horizontal lie.
4. A fetus with a left scapula presenting is in a horizontal lie.
5. A fetus with a right scapula presenting is in a horizontal lie.
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A client undergoes surgery for a Kock pouch and returns to the nursing unit. The nurse anticipates that the ileal catheter will be removed in about?
A) 3 to 4 days B) 5 to 7 days C) 7 to 9 days D) 10 to 14 days
The nurse performing an assessment of a client's endocrine system expects to address the structure and function of the: Select all that apply
1. Hypothalamus. 2. Thyroid gland. 3. Gonads. 4. Salivary glands. 5. Lacrimal glands.
A patient states, "Ever since I was a kid, I knew I should study, get good grades, and go to medical school. I wanted to be helpful and do good for others.". From this statement, the nurse obtains information to assess this patient's:
a. self-ideal. b. self-esteem. c. self-concept. d. self-actualization.
Decerebrate posture is documented in the chart of the patient that the nurse will be caring for. The nurse should know that the patient may have elevated ICP causing serious disruption of motor fibers in the midbrain and brainstem and will expect the patient's posture to look like which posture represented below?
A. A (hands together on chest) B. B (hands turned out at sides) C. C (one hand on chest one turned out at sides) D. D (hands at side with back arched)