A client asks, "What does the doctor mean when he says my baby is plus one?" The nurse explains that this means the part of the baby to be born first has descended to
a. 1 centimeter above the ischial spine
b. 1 centimeter above the symphysis pubis
c. 1 centimeter below the ischial spine
d. 1 centimeter below the symphysis pubis
C
The ischial spines are the anatomic part of the pelvis used to determine and describe station, they represent station 0 . Below them are + stations; above them are – (minus) stations.
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After teaching a client how to care for a furuncle in the axilla, a nurse assesses the client's understanding. Which statement indicates the client correctly understands the teaching?
a. "I'll apply cortisone cream to reduce the inflammation." b. "I'll apply a clean dressing after squeezing out the pus." c. "I'll keep my arm down at my side to prevent spread." d. "I'll cleanse the area prior to applying antibiotic cream."
A client presents to the emergency department reporting a foreign body in the eye. For what diagnostic testing should the nurse prepare the client?
a. Corneal staining b. Fluorescein angiography c. Ophthalmoscopy d. Tonometry
A client was admitted with diabetic ketoacidosis (DKA). Which manifestations does the nurse monitor the client most closely for?
a. Shallow slow respirations and respiratory alkalosis b. Decreased urine output and hyperkalemia c. Tachycardia and orthostatic hypotension d. Peripheral edema and dependent pulmo-nary crackles
"Weeping" skin is best described as __________
A) oozing pus. B) bloody. C) overly moist. D) yeasty.