Which observation indicates that the second stage of labor has begun?
A) Emotions are calm and happy
B) Frequency of contractions is five to six minutes
C) Fetus is at –1 station
D) The urge to push occurs
Ans: D
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The client states, "I was reared in a chaotic, alcoholic family situation." The nurse knows that the most useful theory for explaining the client's somatoform disorder would come from:
1. Humanistic theory. 2. Psychosocial theory. 3. Biologic theory. 4. Genetic theory.
In examining a client with several diseases diagnosed, including hypertension and depression, the nurse examines the physiology of the effect of stress on the immune system
Which of the following physiologic responses affects this client the most strongly? A) A reduction in the level of virus-fighting interferon. B) An increase in the level of serum cortisol. C) An increase the number of immature T cells. D) A reduction in the antibody response to vaccines.
An older adult client who has a history of falls has been placed in physical restraints after the failure of all other alternatives for fall prevention. What actions should the nurse take to en-sure the safety of the client in restraints?
A. Check the client every hour, while keeping the restraints in place. B. Check the client every 30 to 60 minutes, releasing the restraints every 2 hours. C. Check the client once each shift, releasing the restraints for feeding only. D. Check the client twice each shift, keeping the restraints in place.
A nurse in the emergency department has just received word that the emergency department will be receiving a small group of military personnel (18) who have been exposed to inhalation anthrax. The nurse should prepare to administer
a. IV ciprofloxacin (Cipro). b. IM streptomycin. c. IV gentamicin. d. atropine.