The nurse is alarmed as she assesses a protruding umbilical cord from the vagina. The immediate action the nurse should take is:
a. to monitor intensity of contractions.
b. place the patient in the knee-chest position.
c. notify the charge nurse.
d. ask the patient to perform a Valsalva maneuver.
B
The knee-chest position reduces the pressure on the cord with the pull of gravity.
You might also like to view...
The nurse is caring for a client after a motor vehicle accident (MVA) and instructs the client to avoid turning because the client's spine is unstable
Which does the nurse use to explain the purpose of the safeguards in relation to the client's injury? 1. Prevents a sudden deterioration in vital signs 2. Keeps the neck and spine in straight alignment 3. Facilitates efficient, comprehensive assessment 4. Helps to maintain straight alignment of the legs
The client asks the nurse to irrigate both ear canals to improve hearing and comfort. The client has bilateral brown ear drainage and a history of a right mastoidectomy and perforation of the left tympanic membrane
Which should the nurse implement first? 1. Instruct the client that the ears are infected. 2. Perform otoscopic examination of the canals. 3. Collaborate with provider about the drainage. 4. Irrigate ear canals with warmed saline solution.
The patient asks the nurse about storing insulin. Which response by the nurse is correct?
a. "All insulin vials must be refrigerated." b. "Insulin will last longer if kept in the freezer." c. "Opened vials of insulin must be discarded." d. "Some combination pens do not require refrigeration."
The Chicago Statement on Biblical Inerrancy is one of the most thorough treatments of the doctrine of inerrancy.
Indicate whether the statement is true or false