The nurse working in the maternity care area is planning actions to support the 2020 National Health Goals regarding the preparation of patients for childbirth. Which action should the nurse select to support these goals?
A) Attend pediatric advanced life support training.
B) Request to be scheduled to work in the labor suite.
C) Enroll in classes to become a childbirth instructor.
D) Become certified in infant cardiopulmonary resuscitation.
C
Feedback:
Nurses have a direct role in helping the nation achieve the 2020 National Health Goals regarding the preparation of patients for childbirth by participating as childbirth instructors. Attending pediatric advanced life support training, working in the labor suite, and certification in infant cardiopulmonary resuscitation will not support the 2020 National Health Goals for childbirth.
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If hypovolemia is left untreated, it can lead to a variety of complications, such as
A) hypotension. B) electrolyte and acid-base disturbances. C) organ dysfunction. D) All of the above are correct.
A patient has decided to explore palliative care. After this decision is announced, the nurse notices that not all the disciplines of the healthcare team seem to be supportive of the decision. What action by the nurse is indicated?
1. Contact the physician to report the discrepancies in the plan of care. 2. Discuss the patient's wishes in the next multidisciplinary meeting. 3. Develop a plan of care and distribute it to the other disciplines of the healthcare team. 4. Advise the patient to contact the social services department.
Surgical placement of a ventriculoperitoneal shunt is used to treat
a. hyponatremia. b. intracerebral hemorrhage. c. spontaneous intracerebral hemorrhage. d. hydrocephalus.
What is the best choice of diagnosis for this adnexal swelling?
An 18-year-old college freshman comes to your clinic, complaining of severe left-sided lower abdominal pain and a foul yellow discharge. The pain began last night while she was having intercourse with her boyfriend. Afterward the pain became more severe and the discharge started. By this morning she had a fever of 101 degrees and walking was making the pain worse. Only lying very still makes the pain better. She has tried ibuprofen and acetaminophen without any improvement. She denies any nausea, vomiting, diarrhea, or constipation. Her past medical history is unremarkable. She has had two past sexual partners. She uses the birth control patch instead of condoms. She smokes a half pack of cigarettes a day and drinks four to five beers per weekend night. She denies any illegal drug use. Her parents are both healthy. On examination you find a young woman who appears ill. Her temperature is 102 degrees and her pulse is elevated at 110. She is tender in the left lower quadrant but has no guarding or rebound. Speculum examination reveals yellow purulent drainage from the os. On palpation there is cervical motion tenderness and the left adnexa is swollen and tender. A urine analysis is unremarkable and the urine pregnancy test is pending. A) Ovarian cyst B) Tubal pregnancy C) Pelvic inflammatory disease