A patient in the transition phase of labor is requesting fentanyl (Sublimaze) for pain. How should the nurse respond to this request?
A) "I will page the provider and ask for your pain medication."
B) "You are so close to delivery, don't you want to have natural child birth?"
C) "Pain medication given now might cause the baby to have slow respirations and is not recommended. Let's try to focus and breathe."
D) "Rather than use fentanyl, we can ask the provider to order another analgesic at this point."
Ans: C
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While caring for a patient with a traumatic brain injury, the nurse assesses an ICP of 20 mm Hg and a CPP of 85 mm Hg. What is the best interpretation by the nurse?
a. Both pressures are high. b. Both pressures are low. c. ICP is high; CPP is normal. d. ICP is high; CPP is low.
Which measures whether urine is acidic or alkaline?
a. Testing for pH b. Testing for glucose c. Testing for ketones d. Straining urine
A client who is on postoperative day one from abdominal surgery is requesting a back rub. The nurse realizes this care should be provided by:
1. The registered nurse. 2. Unlicensed assistive personnel. 3. No one since, the client cannot assume the prone position. 4. The physician.
A client contacts you by text message to ask about pains she is experiencing in her lower abdomen. What is the most appropriate action for you to take?
a. Text her back to reassure her that this is normal, then hope for the best. b. Send her an email with links to information about abdominal pain. c. Call her to discuss her concerns and to arrange a time to meet if required. d. Text her back, asking her to meet you for an in-person consultation.