The priority nursing intervention following an amniotomy is to:
a. Assess the color of the amniotic fluid.
b. Change the client's gown.
c. Estimate the amount of amniotic fluid.
d. Assess the fetal heart rate.
D
The fetal heart rate must be assessed immediately after the rupture of the membranes to de-termine whether cord prolapse or compression has occurred.
This is important, but not the top priority.
This is important for client comfort, but it is not the top priority.
This is not a top priority for this client.
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Which of the following are accepted nonpharmacological approaches to managing pain and/or anxiety in critically ill patients? (Select all that apply.)
a. Environmental manipulation b. Explanations of monitoring equipment c. Guided imagery d. Music therapy
The nurse elects to use a scale of stressful life events to assess the level of a newly admitted client's stress. How should the nurse explain the use of this scale to the client?
A) "This scale will give us a definite stress level number that can be used to compare your stress to that of others your age." B) "This scale will give us some idea about your stress related to both positive and negative recent events in your life." C) "You should try to remember any stressful event that has occurred to you in the last 10 years to include in the scale." D) "We will consider only the negative life events that have happened to you recently."
For Orem, the clear specification that the nurse uses in the nursing role is the power of nurses to
A. Initiate caring for others. B. Coordinate the work of all health providers. C. Design and produce nursing care for others. D. Maintain an objective stance toward others.
Which of the following is an important inhibitory neurotransmitter that keeps emotion and behavior under control?
A. Serotonin B. Gamma-aminobutyric acid (GABA) C. Norepinephrine D. Dopamine