The client has stated that she wants to avoid an epidural and would like an unmedicated birth. Which nursing action is most important for this client?

1. Encourage the client to vocalize during contractions.
2. Perform vaginal exams only between contractions.
3. Provide a CD of soft music with sounds of nature.
4. Offer to teach the partner how to massage tense muscles.


4
Explanation: 4. Massage is helpful for many clients, especially during latent and active labor. Massage can increase relaxation and therefore decrease tension and pain.

Nursing

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The nurse is preparing teaching material for a client who is 34 years old, overweight, and has a family history of myocardial infarction. What should the nurse identify as priority teaching needs for this client? (Select all that apply.)

1. Consuming a diet high in calcium 2. Choosing a diet low in fat 3. Maintaining iron and folate intake 4. Beginning an exercise program 5. Use of sunscreen at all times

Nursing

A nurse understands that lorazepam (Ativan) is the drug of choice for treating status epilepticus but that its effects last for less than 1 hour

The nurse would expect which of the following to be prescribed along with lorazepam (Ativan) during status epilepticus? Select all that apply. A) Ethosuximide (Zarontin) B) Phenytoin (Dilantin) C) Ethotoin (Peganone) D) Zonisamide (Zonegran)

Nursing

The nurse is teaching a client with asthma about self-management. Which statement by the nurse is best?

a. "Keep a daily symptom and intervention diary." b. "Measure your anterior/posterior diameter weekly." c. "Note your symptoms when you don't take your medications." d. "Exercise before and after taking inhalers and compare tolerance."

Nursing

The nurse is caring for a patient in the post-anesthesia care unit and notes that the patient received isoflurane (Forane) to induce anesthesia. When will the nurse expect the patient to recover consciousness?

a. Immediately b. In 15 to 30 minutes c. In 1 hour d. In hours

Nursing