The nurse is caring for a woman who had an incomplete abortion. For what procedure would the nurse prepare this client?
A) Conization
B) Culdoscopy
C) Hysterectomy
D) Dilation and Curettage (D&C)
D
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A D&C may be used after an abortion, whether spontaneous or therapeutic, to remove the retained products of conception. A D&C is always performed after an incomplete abortion. Conization is a form of cervical biopsy and culdoscopy is visualization of the uterus with an endoscope. A hysterectomy is the surgical removal of the uterus. It may be performed for a variety of reasons, such as cancer of the cervix, ovaries, or uterus, or to treat uterine fibroids, severe endometriosis, or a prolapsed ("fallen") uterus.
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A client who is 7 months pregnant states, "I'm worried that something will happen to my baby." The nurse's best response is:
a. "There is nothing to worry about." b. "The doctor is taking good care of you and your baby." c. "Tell me about your concerns." d. "Your baby is doing fine."
A nurse is reviewing a patient's medications before administration. Which drug-to-drug interactions will most concern the nurse in a patient with a history of heart failure and a potas-sium level of 5.5 mEq/L?
a. Furosemide [Lasix] and enalapril [Vaso-tec] b. Amlodipine [Norvasc] and spironolactone [Aldactone] c. Captopril [Capoten] and spironolactone [Aldactone] d. Metoprolol [Lopressor] and furosemide [Lasix]
Advocacy involves all of the following EXCEPT:
1. understanding your client's values. 2. persuading your client to undergo a curative treatment. 3. ensuring that prescribing providers are aware of the client's values. 4. discussing all treatment options with the client in a nonbiased, informative manner.
A nurse is reviewing research studies for evidence-based practice. Which article should the nurse use for qualitative nursing research?
a. An article about the number of falls after use of no side rails b. An article about infection rates after use of a new wound dressing c. An article about the percentage of new admissions on a new floor d. An article about emotional needs of dying patients and their families