When monitoring uterine contractions of a client receiving an oxytocin infusion, the nurse should notify the primary health care provider immediately if which of the following occur? Select all that apply
A) No palpable relaxation of the uterus
B) Significant change in client's blood pressure
C) Significant change in fetal heart rhythm
D) Significant change in rhythm of uterine contractions
E) Significant change in frequency of uterine contractions
Ans: A, B, C, D, E
Feedback:
When monitoring uterine contractions, the nurse should notify the physician immediately if any of the following occur: a significant change in fetal heart rate or rhythm; a marked change in the frequency, rate, or rhythm of uterine contractions; uterine contractions lasting longer than 60 seconds; contractions occurring more frequently than every 2 or 3 minutes; no palpable relaxation of the uterus; a marked increase or decrease in the client's blood pressure or pulse; or any significant change in the client's general condition.
You might also like to view...
The nurse is caring for a client with acid-base imbalance in collaboration with the health care team. The information that needs to be conveyed to the team includes:(Select all that apply) Standard Text: Select all that apply
1. Continued urinary output 2. Changes in level of consciousness 3. pH greater than 7.45 4. Imbalance of I&O 5. Baseline vital signs
Which of the following actions are effective in reducing friction when repositioning a patient in bed? (Select all that apply.)
a. Lifting rather than pushing b. Pushing the patient up in bed c. Asking the patient to bend his or her knees and lift the hips when moving up in bed d. Asking the patient to lie still as you repo-sition him or her; even when the patient offers to help e. The use of a draw sheet f. The use of a transfer board
A nurse is providing emergency care to an assault victim. Which of the following would be the most appropriate action for the nurse to take?
a. Support the privacy of the victim b. Assess the socioeconomic status of the victim c. Question the victim about the details of the assault d. Educate the victim about violence preven-tion
What strategies does the person use in dealing with team conflict?
Identify a colleague whom you consider to be a clinical leader or role model. They do not have to hold a position of designated authority (e.g. Nurse Unit Manager), but they should demonstrate leadership qualities. What will be an ideal response?