A client's labor has progressed so rapidly that a precipitous birth is occurring. The nurse should:
A. Go to the nurse's station and immediately call the physician.
B. Run to the delivery room for an emergency birth pack.
C. Stay with the client and ask for auxiliary personnel for assistance.
D. Try to delay the delivery of the infant's head until the physician arrives.
C
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The nurse caring for the terminally ill client and the family collects data about loss and grieving during the admission interview. Information important to collect includes: Standard Text: Select all that apply
1. Previous losses 2. Awareness of approaching loss 3. How grief was handled previously 4. Medications being taken for coping 5. History of alcohol abuse
The nurse has written goals for a client's care. A characteristic of a correctly stated goal is that it:
a. identifies specific measurements (data) to determine if it is met. b. reflects the medical diagnostic statement. c. states a broad outcome that does not have to be measured. d. provides a guideline for change in a given period of time.
The nurse uses the nursing process to create a plan of care for a hospitalized client. Rank the following activities of the nursing process in the proper order. Standard Text: Click and drag the options below to move them up or down
1. The nurse educates the client regarding the care of his sternal and leg incisions. 2. The client is admitted to the hospital with chest pain. The client is admitted with an evolving myocardial infarction and is taken to surgery for a coronary artery bypass graft. 3. The nurse determines that the client has an impaired skin integrity and an increased risk for the development of an infection. 4. The nurse develops a plan to help prevent some of the known complications associated with surgery.
When planning care for a patient with esophageal varices, which action would be a priority for the nurse?
A) Discussing the importance of Alcoholics Anonymous meetings B) Assessing for signs and symptoms of hemorrhage C) Teaching the patient signs of bleeding to report D) Encouraging rest periods to reduce fatigue