P.M. asks the nurse about what should be reported to her doctor. List at least six of the danger
signs during pregnancy.
What will be an ideal response?
• Sudden gush of fluid from vagina
• Abdominal pain
• Temperature above 101.7° F (38.7° C)
• Dizziness, blurred vision
• Persistent vomiting
• Severe headache
• Edema in the hands, face, legs, and feet
• Convulsions
• Oliguria
• Dysuria (UTI)
• Absence of fetal movement after initial movement is felt (approximately 20 weeks)
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A nursing manager is frustrated by a committee that consistently fails to meet goals and generally demonstrates a lack of progress or results. The manager can conclude that
a. established policies and procedures might be inhibiting productivity. b. self-serving behaviors outweigh the task behaviors in the group. c. the committee's goals are vague and the committee lacks direction. d. the leadership within the group is not skilled at group management.
An IV of midazolam 5 mg in 100 mL D5W is infusing at 20 mL/hr. What dose is the client receiving? _______________
a. 0.05 mg/min b. 5 mg/hr c. 1 mg/hr d. 0.06 mg/min
The nurse is working with a child newly enrolled into an English-as-a-second-language class. The nurse wants to teach the child about the importance of handwashing before meals and of not eating food dropped on the exam room floor
The best way to assimilate the nurse's cultural values about hygienic nutrition is to: 1. Have the nurse model proper handwashing before examining the child and throw out the dropped cookie. 2. Provide written materials in English about hygiene and diet for the client to take home. 3. Have the child repeat his interpretation of the information that was taught. 4. Schedule a medical interpreter to accompany the client to his next visit.
The nurse notes that the client's chest tube pulled out by 2 inches during turning and repositioning. Which does the nurse implement?
1. Instruct the nursing assistant to apply pressure for 5 minutes. 2. Replace the WSD system with a sterile waterless unit quickly. 3. Hold a towel firmly over site and send for petrolatum gauze. 4. Push tube into place and apply an occlusive sterile dressing.