A client in her second trimester is complaining of spotting. Causes for spotting in the second trimester are diagnosed primarily through the use of:
1. A nonstress test.
2. A vibroacoustic stimulation test
3. An ultrasound.
4. A contraction stress test.
3
Rationale:
1. A nonstress test is used to identify the well-being of the fetus.
2. A vibroacoustic stimulation test is used to identify the well-being of the fetus.
3. Ultrasound is a noninvasive way to identify the location of the placenta.
4. A contraction stress test is used to identify the well-being of the fetus.
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Kathy is the parent of 13-year-old Meg, who has cerebral palsy
In the medical record, it is noted that in a previous hospitalization Kathy complained that Meg was forced to wear an oxygenation saturation monitor although the physician had said it was not needed. After you introduce yourself as the nurse, which of the following statements might best help build a positive nurse-family partnership? 1. "I understand that you were upset about the monitor during the last hospitalization, but every patient has to wear it." 2. "I know that you were upset during the last hospitalization. We will not use the monitor if the physician does not believe it is needed." 3. "Is there some way we can help Meg better comply with wearing the monitor during this hospitalization?" 4. "Parents are often upset during hospitalizations. Fatigue reduces your patience for hospital routine."
A nurse explains to a patient that an instructional directive means
1. A family member has been appointed as having power of attorney. 2. A patient's wishes must be followed in the event of a major illness. 3. There is a do-not-resuscitate (DNR) order for emergency personnel. 4. There are written guidelines specifying care desired and under what circumstances.
John Brown, age 70, is admitted to the critical care unit with uncontrolled hypertension. Mr. Brown's point of maximal impulse (PMI) is enlarged and displaced laterally. What is the normal size of the left ventricular impulse (LVI)?
A) <1 cm B) No greater than 2 cm C) Between 3 and 4 cm D) >4 cm
When giving home care instructions to a patient who has comminuted forearm fractures and a long-arm cast on the left arm, which information should the nurse include?
a. Keep the left shoulder elevated on a pillow or cushion. b. Keep the hand immobile to prevent soft tissue swelling. c. Call the health care provider for increased swelling or numbness of the hand. d. Avoid nonsteroidal antiinflammatory drugs (NSAIDs) for 24 hours after the injury.