While palpating contractions, the nurse determines that a client is in the latent phase of labor. What findings did the nurse use to make this determination? Select all that apply
1. Contractions rated as being moderate to strong
2. Contractions rated as being mild to moderate
3. Contractions occur every 6 minutes lasting for 40 seconds
4. Contractions occur every 2 minutes lasting for 50 seconds
5. Contraction occurs every 10 minutes lasting for 30 seconds
2, 3, 5
Explanation:
1. Contractions in the active phase are rated as being moderate to strong.
2. Contractions in the latent phase are rated as being mild to moderate.
3. In the latent phase contractions progress to occurring every 5 to 7 minutes and last for 30 to 40 seconds.
4. In the active phase contractions occur every 2 to 5 minutes and last for 40 to 60 seconds.
5. In the latent phase contractions occur every 10 to 30 minutes and last for 30 seconds.
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A client with chronic back pain tells the nurse that he notices the pain is less when he is taking an allergy pill for his sinuses. The nurse realizes this client's pain is reduced because:
a. the client is focusing on the allergy and not on the pain. b. the client is really not experiencing pain. c. the client is addicted to allergy pills. d. the allergy pill is blocking the release of histamine, which contributes to pain.
When the nurse interviews an adolescent, which is especially important?
a. Focus the discussion on the peer group. b. Allow an opportunity to express feelings. c. Use the same type of language as the adolescent. d. Emphasize that confidentiality will always be maintained.
The nurse is assisting a patient with ways to reduce the severity of the monthly menstrual discomforts associated with premenstrual syndrome
Which information should the nurse review with this patient? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Avoid exercise during the days immediately before menstruation. 2. Investigate the use of alternative therapies such as black cohosh root. 3. Follow a low-carbohydrate diet 4. Increase sodium intake. 5. Restrict caffeine intake.
Which of the following interventions would be beneficial for a client who is demonstrating stress associated with an illness and having to care for a family at home?
1. Ask the client if there is anyone who would be able to help with the family needs at home while she is recuperating 2. Suggest the client be transferred to a long-term care facility to ensure a full recovery 3. Find out if the children can be sent to a grandparent's home until the client fully recovers 4. Ask the client if there is anything that she needs once she returns to home