During your visual exam of a woman in active labor, you see a loop of the umbilical cord protruding from her vagina. She is in the middle of a strong contraction, and you can see the baby's head just beyond the cord. You should immediately:
A) place her on 100% supplemental oxygen.
B) instruct her to pant during the contraction.
C) push the baby's head back into the vagina.
D) apply sterile, moist dressings over the cord.
Answer: B) instruct her to pant during the contraction.
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Which technique should the nurse use to collect a sputum specimen for culture?
A. Cap off the Lukens tube, lower attachment to the suction catheter, upper attach-ment to the suction source B. Cap off the Lukens tube, lower attachment to the suction source, upper attach-ment to the suction catheter C. Cap on the Lukens tube, lower attachment to the suction catheter, upper attach-ment to the suction source D. Cap on the Lukens tube, lower attachment to the suction source, upper attachment to the suction catheter
Nurse F. works at a high school in a small rural town. Her son is a member of the school cross country team. Several times after training he has come home and complained of muscle weakness, dizziness, and increased heart rate
Each time she encouraged him to drink extra fluids and rest and the symptoms resolved. Now that she identified this as a problem, her next course of action would be to: (Select all that apply.) 1. Include information about the symptoms and effects of altered fluid status in her health class which is mandatory for all students. 2. Arrange a special class for athletes to discuss good hydration and symptoms of dehydration. 3. Discuss the need for athletes to have extra fluids with the physical education staff. 4. The is no need to do anything else since her son now drinks extra fluids. 5. Be present at all sports events to ensure students are adequately hydrated.
The APRN is assessing the tympanic membrane of a patient. Once the tympanic membrane has been visualized, the APRN uses the bulb insufflator to observe the movement of the tympanic membrane
When forcing air into the ear canal, what would the APRN expect to note? A) Negative pressure pulling the tympanic membrane B) Positive pressure pushing down the tympanic membrane C) Negative pressure pushing down the tympanic membrane D) Positive pressure pulling the tympanic membrane
A nurse performing an abdominal assessment is preparing to auscultate for bowel sounds. The nurse:
A. Begins in the right lower quadrant B. Uses the bell end of the stethoscope C. Holds the stethoscope firmly and deeply against the skin D. Listens for at least 1 minute before deciding that bowel sounds are absent