The nurse is reviewing amniocentesis with a pregnant client. In which order should the nurse explain the steps that will occur during this procedure?
1. Conduct an ultrasound
2. Fetal heart rate assessed
3. Local anesthetic provided
4. Skin cleansed with antiseptic solution
5. Insertion site observed for fluid streaming
6. 22-gauge needle inserted to withdraw amniotic fluid
1, 4, 3, 6, 5, 2
Explanation:
1. An ultrasound is performed first to identify amniotic fluid pockets.
2. Fetal heart rate is assessed last.
3. A local anesthetic is provided after the skin is cleansed.
4. Skin is cleansed after the ultrasound.
5. Fluid streaming occurs after the 22-gauge needle is removed.
6. A 22-gauge needle is inserted after the local anesthetic.
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The nurse is caring for a complex patient needing physical and emotional support. As the primary care giver, the nurse:
a. is ultimately responsible for assessment of patient needs and progress. b. delegates to people who know what they are doing and operate independently. c. provides total care to the patient after getting direction from other disciplines. d. understands that the patient is ultimately responsible for failure or success.
The nurse is reviewing the results of a patient's diagnostic tests. Based on the chart, which physician order would the nurse question based on the patient's most likely diagnosis?
1. Fluid restriction of 1,500 mL per 24 hours 2. Up in chair as tolerated 3. Perform endotracheal suctioning as needed. 4. Administer azithromycin.
A nurse leader is using critical thinking skills to address the problem of limited access to health care by low-income families in a community. Which of the following actions would most likely be taken by the nurse?
a. Use assertiveness when working with community leaders b. Read an evidence-based practice article about the problem c. Form a coalition to brainstorm effective methods to address the problem d. Promote diversity in the workplace by hiring minorities
For which role in a research study is special research preparation necessary?
1. Identifier of researchable problems 2. Evaluator of research findings 3. Patient advocate during studies 4. Principal investigator for study