The nurse admits into the labor area a client who is in preterm labor. What assessment finding would constitute a diagnosis of preterm labor?
1. Cervical effacement of 30% or more
2. Cervical change of 0.5 cm per hour
3. 2 contractions in 30 minutes
4. 8 contractions in 1 hour
4
Explanation: 4. 8 contractions in a 60 minute period does define a diagnosis of preterm labor.
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___ provide feedback of analyzed data to staff
Fill in the blank with the appropriate word.
While being catheterized for urinary retention, a patient becomes diaphoretic and pale. What should the nurse do to help this patient?
1. The nurse should clamp the catheter after draining 500 mL of urine. 2. No action is needed, as this situation is transient. 3. The nurse should remove the urinary catheter. 4. The nurse should provide the patient with fluids.
Which assessment is most important to perform before giving a patient who is prescribed levothyroxine (Synthroid) the first dose of the drug?
a. Measuring heart rate and rhythm b. Determining level of consciousness c. Asking about an allergy to "sulfa" drugs d. Checking intake and output for the last 24 hours
A client with schizoaffective disorder is assigned to a nursing student. During the interview, the client tells the student, "When I was living in Spain, I didn't have any problems
I used to visit the Eiffel Tower every day and sit near the windows throwing flowers and dollar bills at the peasants to make them happier.". The student knows the client is: A) Suffering from new onset schizophrenia. B) An insufferable liar. C) Suffering from hallucinations. D) Suffering from delusions.