A patient is entering the third stage of labor. What will the nurse assess when the placenta is separating? (Select all that apply.)
A) Umbilical cord lengthens
B) Fundus rises in the abdomen
C) Uterus takes on a globular shape
D) Sharp pain is felt in the abdomen
E) Blood trickles steadily from the vagina
Ans: A, B, C, E
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A postsurgical client is recovering in hospital following bowel surgery. The client's family is eager to bring him some of his favorite foods to make his stay more pleasant and has asked the nurse whether this practice is acceptable
The client is currently on a clear liquid diet, which will be changed as the client tolerates intake. What food item is currently acceptable within this hospital diet? A) Black tea B) Skim milk C) Cream of chicken soup D) Tomato juice
The nurse believes that her need for individual malpractice insurance is decreased because she practices in a small-town home health agency. What is true about this situation?
1. Residents of small towns are less likely to bring suit than residents of urban areas. 2. Slower paced environments, such as home health care, are less likely to create situations in which the nurse makes an error. 3. Nurses working in home health are covered by mandatory federal malpractice insurance policies. 4. Home health care is an area in which the risk of lawsuit is higher than in many other practice areas.
Which of the following indicates a fungal infection? Select all that apply
1. Cloudy yellow urine 2. Painful, swollen joints 3. Red, round, itchy patches on the skin or scalp 4. Open, weeping pustules on the abdomen 5. Athlete's foot
A patient who has been taking carbamazepine (Tegretol) for 2 months has all of the following blood laboratory results. Which result does the nurse report to the prescriber immediately?
a. White blood cell (WBC) count 2200/mm3 b. Platelet count 300,000/mm3 c. Potassium 3.6 mEq/L d. Sodium 132 mEq/L