The nurse encounters a woman giving birth at the local shopping mall. What should the nurse do first?
1. Visualize the perineum.
2. Apply counterpressure to the perineum.
3. Ask a bystander for a dry piece of clothing.
4. Determine if the membranes have ruptured.
1
Explanation:
1. Inspecting the perineum is the only method of determining whether the client is going to give birth imminently. This is the top priority.
2. This is appropriate if the presenting part is crowning. Counterpressure to the perineum helps prevent perineal lacerations.
3. Prior to birth, some dry cloth object should be obtained to dry the infant and prevent neonatal hypothermia.
4. This is less important than knowing whether the baby is coming at this time.
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Which of the following statements best explains the continued incidence of infectious disease in the United States today?
a. Illness theory explains that there are many causes of illness resulting from environmental conditions. b. No single theory adequately explains why a particular person gets a particular illness at a particular time. c. The germ theory explains that a specific infection is caused solely by the invasion of particular bacteria. d. The theory of susceptibility states that an individual only gets ill when there is extensive stress in his or her life.
Which explanation is the most accurate when describing PM care to a client?
1. Providing for elimination needs, washing face and hands, giving oral care, and possibly a back massage. 2. Providing care when the client awakens to include providing urinal or bedpan, washing of face and hands, and giving oral care 3. Providing care after breakfast that includes elimination needs, a bath or shower, perineal care, and oral, nail, and hair care. 4. Providing care required by the client such as changing of linen and clothes when they become soiled.
A female patient is having a biopsy of a nodule found in the right breast. Which classification identifies this surgery?
a. Urgent b. Minor c. Cosmetic d. Diagnostic
The nurse is reinforcing teaching provided to a patient with pernicious anemia. Which patient statement indicates that teaching has been effective?
a. "I can miss a month or two of injections if I am feeling better." b. "I will need to take vitamin B12 injections for the rest of my life." c. "I will take the vitamin B12 injections until my strength returns." d. "I can take a vitamin B12 injection when I feel tired or fatigued."