The client presents to Labor and Delivery stating that her water broke 2 hours ago. Barring any abnormalities, how often would the nurse expect to take the client's temperature?
1. Every hour
2. Every 2 hours
3. Every 4 hours
4. Every shift
3
Rationale:
1. Maternal temperature is taken every 4 hours unless it is above 37.5?C. If elevated, it is taken every hour.
2. Maternal temperature is taken every 4 hours unless it is above 37.5?C. If elevated, it is taken every hour.
3. Maternal temperature is taken every 4 hours unless it is above 37.5?C. If elevated, it is taken every hour.
4. Maternal temperature is taken every 4 hours unless it is above 37.5?C. If elevated, it is taken every hour.
You might also like to view...
A reflex is a
A) sympathetic response stimulated by an effector organ. B) motor response to a sensory input. C) parasympathetic preganglion axon causing action. D) neurochemical imbalance producing movement.
The community psychiatric nurse learns that a suspicious and socially isolated client who lives alone
chooses to eat one meal a day at a nearby soup kitchen and spend the remainder of his daily food allowance on cigarettes. The nurse's initial action should be to a. tell the client he must stop smoking to save money. b. assess weight and determine foods and amounts eaten. c. report the situation to the manager of the soup kitchen. d. seek rehospitalization for the client while a new plan is put into place.
Implementing planned nursing interventions begins with
a. assessment c. implementation b. planning d. evaluation
An 18-year-old male presents with complaints of a penile discharge and dysuria for 3 days. The most likely potential diagnosis is probably:
A) Sexually transmitted disease (STD). B) Orchitis. C) Spermatocele.