The client in active labor is requesting pain relief. The physician orders an epidural anesthetic for the client
Which of the following actions should the nurse be prepared to make immediately after administration of the epidural? The nurse should assess: A. The blood pressure.
B. For headache.
C. For urinary retention.
D. The maternal pulse rate.
A
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When a fall occurs, the nurse should document the incident and initiate a(n) ___________ report
Fill in the blank(s) with correct word
An older patient is prescribed a blood transfusion of two units packed red blood cells. What should the nurse do when providing the blood to this patient? Standard Text: Select all that apply
1. Premedicate with an antihistamine. 2. Administer each unit over 2 to 4 hours. 3. Provide a diuretic between the two units as prescribed. 4. Carefully assess the intravenous access site for infiltration. 5. Monitor vital signs and urine output during the transfusion.
During the first 24 hours postburn, fluid replacement is the treatment priority. The assessment that would alert the nurse that the fluid protocol is ineffective is:
1. rectal temperature of 101ยบ F. 2. urine output of 20 mL/hour. 3. crackles in the lower left lobe. 4. marked edema in the burn area.
The woman's health clinic nurse is providing information to a 21-year-old woman who is being scheduled for a pelvic exam and Pap test. This information should include (select all that apply):
a. The Pap test is a diagnostic test for cervical cancer. b. The woman should not use tampons or vaginal medication or engage in sexual intercourse within 48 hours of the exam. c. The best time to have a Pap test is 5 days after the menstrual period has ended. d. The woman should have a yearly Pap test.