The nurse is providing hourly postpartum assessments of a woman following the vaginal delivery of twins. Because of uterine overdistention, the nurse is most concerned about:
A) a uterus that needs frequent massage. B) frequent urination. C) 2+ patellar reflexes. D) shaking chills just after delivery.
A
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What action by a student before taking a test should indicate to a nursing instructor that the student is demonstrating signs of moderate anxiety?
a. Studies for 6 hours b. Sleeps 6 hours because of fatigue c. Vomits d. Argues about the scheduling of the test
Cognitive therapy attempts to extinguish undesirable responses by learning other adaptive techniques
Indicate whether the statement is true or false
The nurse is caring for a client who has been taking clozapine (Clozaril) for 2 weeks. When the client tells the nurse that she has a sore throat and feels weak, the nurse should notify the physician to obtain an order for:
A) A white blood cell count. B) Liver function studies. C) A serum potassium level. D) A serum sodium level.
The nurse developing a plan of care for a client whose spouse recently died determines the client has a problem with dysfunctional grieving. Which priority intervention does the nurse incorporate into the plan?
A. Monitoring the client's sleep pattern B. Assessing the client's risk for violence toward self and others health care provider C. Obtaining a health care provider's prescription for an antidepressant D. Assisting the client in resolving the grief through emotional, cognitive, and behavioral means