A young adolescent is transferred to the labor and delivery unit from the emergency department. The client is in active labor, but did not know she was pregnant. What is the most important nursing action?
1. Determine who might be the father of the baby for paternity testing.
2. Ask the client what kind of birthing experience she would like to have.
3. Assess blood pressure and check for proteinuria.
4. Obtain a Social Services referral to discuss adoption.
3
Explanation: 3. Preeclampsia is more common among adolescents than in young adults, and is potentially life-threatening to both mother and fetus. This assessment is the highest priority.
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A voter is angry that his or her congressman voted for a bill that contained an amendment unrelated to the bill without knowing about the amendment. The congressman explains that this occurs because
a. aides do not have time to fully read bills and inform congressional members. b. amendments sometimes are added at the last minute. c. representatives do not get copies of full bills before they vote on them. d. there simply is not enough time to understand each bill.
Which of the following groups has the highest poverty rate in the United States?
a. Married couples with several children b. Single female heads of household c. Single male heads of household d. Two adults cohabitating when one is unemployed
The surgeon orders hourly urine output measurement for a patient after abdominal surgery. The patient's urine output has been greater than 60 ml/hour for the past 2 hours. Suddenly the patient's urine output drops to almost nothing. What should the nurse
do first? 1) Irrigate the catheter with 30 ml of sterile solution. 2) Replace the patient's indwelling urinary catheter. 3) Infuse 500 ml of normal saline solution IV over 1 hour. 4) Notify the surgeon immediately.
Liability means that
a. it is permissible to do a few “extra” things that a homemaker/home health aide really is not supposed to be doing if he or she is not caught b. there is a special process to follow when doing laundry c. there is a degree to which an individual may be held responsible for something that goes wrong in a job situation d. the client has a particular type of health care insurance