When giving a narcotic to a laboring client, the nurse should inject the medication at the beginning of a contraction so that:
a. Full benefit of the medication is received during that contraction.
b. Less medication will be transferred to the fetus.
c. The medication will be rapidly circulated.
d. The maternal vital signs will not be adversely affected.
B
Injecting at the beginning of a contraction, when blood flow to the placenta is normally re-duced, limits transfer to the fetus.
The full benefit will be received by the woman, but it will decrease the amount reaching the fetus.
It will not increase the circulation of the medication.
It will not alter the vital signs any more than giving it at another time.
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A nurse is caring for a patient taking quinidine to suppress sustained ventricular tachycardia. The nurse observes that the patient's ECG shows QRS complexes that have widened by 60% from the baseline measurement. The nurse should
a. continue administering the medication as ordered. b. check with the prescriber on rounds about increasing the dosage. c. check with the prescriber on the next shift's rounds about the drug. d. discontinue the medication and notify the prescriber immediately.
For which client should the nurse remain alert for the possible development of septic shock?
A. 25-year-old man with irritable bowel syndrome B. 52-year-old man taking beta blockers for hypertension C. 37-year-old woman who is 20% above ideal body weight D. 68-year-old woman with cancer being treated with chemotherapy
The nurse performs a dressing change for the client a wound vacuum assisted closure (VAC). Which does the nurse implement to facilitate wound healing?
1. Cuts foam smaller than wound edges 2. Uses black foam to reduce client pain 3. Limits granulation tissue with PVA foam 4. Maintains VAC tubes in alternating places
With the goal of restoring the natural movement of vital forces, life essences, or other such vitalities, ____________________ bring balance back to factors disturbed by diseases or trauma
Fill in the blank(s) with correct word