To identify the duration of a contraction, the nurse would do which of the following?
1. Start timing from the beginning of one contraction to the completion of the same contraction.
2. Time between the beginning of one contraction and the beginning of the next contraction.
3. Palpate for the strength of the contraction at its peak.
4. Time from the beginning of the contraction to the peak of the same contraction.
1
Explanation: 1. The duration of each contraction is measured from the beginning of the contraction to the completion of the contraction.
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The nurse notices that a patient's palpebral fissures are not symmetric. On examination, the nurse may find that damage has occurred to which cranial nerve (CN)?
a. III b. V c. VII d. VIII
The nurse is going to use a bulb syringe to clear mucus from a newborn's nose and mouth. What is the nurse's first action?
a. Place the tip in the nose and squeeze the bulb gently. b. Suction secretions from the nose before the mouth. c. Depress the bulb before inserting the syringe tip into the mouth. d. Insert the tip into the back of the mouth to reach mucus.
A client is prescribed a magnesium and aluminum hydroxide antacid to treat gastroesophageal reflux disease (GERD). The nurse cautions this client to do which of the following?
A) Take it at the same time as other prescribed drugs. B) Limit the frequency of use to two times per day. C) Watch for possible antacid-related diarrhea. D) Report any complaints of sore throat or fever to the physician.
A mother of two children, an 8-year-old and a 10-year-old, tells you that her husband has recently been deployed to the Middle East. The mother is concerned about the children's constant interest in watching TV news coverage of activities in the Middle East. Which suggestion by the nurse to the mother is most appropriate?
1. "Spend time with your children, and take cues from them about how much they want to discuss." 2. "Allow the children to watch as much television as they want. This is how they are coping with their father's absence." 3. "The less that you discuss this, the quicker the children will adjust to their father's absence. Try to keep them busy and use distractions to keep their mind off of it." 4. "It will just take some time to adjust to their father's absence and then everything will return to normal."