A client who is having false labor most likely would have: (Select all that apply.)
1. Contractions that do not intensify while walking.
2. An increase in the intensity and frequency of contractions.
3. Progressive cervical effacement and dilatation.
4. Pain in the abdomen that does not radiate.
Correct
1; 4
Rationale:
1. True labor contractions intensify while walking.
2. True labor results in progressive dilation, increased intensity and frequency of contractions, and pain in the back that radiates to the abdomen.
3. True labor results in progressive dilation, increased intensity and frequency of contractions, and pain in the back that radiates to the abdomen.
4. True labor results in progressive dilation, increased intensity and frequency of contractions, and pain in the back that radiates to the abdomen.
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The psychiatric–mental health nurse is asked to develop an intervention for the nursing unit based on Watson's theory of caring. Given this assignment, which intervention is most appropriate for the nurse to implement?
1. One-to-one debriefing sessions each week with individual unit nurses and the unit manager 2. Clarification of values and cultural beliefs that might pose barriers to caring for clients 3. Identification of additional coping skills for new nurses on the unit 4. Discussion of the impact of recent changes in hospital policy on the nursing staff
The blood alcohol level of a client admitted last night with a compound fracture of the femur
sustained in a fall while intoxicated was not assessed at the time of admission. The nurse should a. request that the blood be drawn stat for this test. b. do nothing because the time for the assessment has passed. c. obtain a Breathalyzer from the emergency department to assess blood alcohol level. d. ask the client about quantity and frequency of recent drinking and when she had her last drink.
A patient on the medical/psychiatric unit has been seen pacing back and forth in his room. The nurse asks him what is wrong. The patient responds, "I don't know." What is this an example of?
A) Stress B) Anxiety C) Distress D) Grief
The nurse is developing a care plan for a pediatric client who is at the age to work on Erickson's developmental stage 4
Which of the following goals would be most appropriate for the nurse to include which would demonstrate the child is accomplishing the tasks in this stage of development? The child will: 1. Watch peers play team sports. 2. Identify one or two pets that would be fun to care for. 3. Complete school homework and have a passing grade within 1 month. 4. Volunteer to help with one or more community projects each week.