A laboring patient is lying supine with a blood pressure of 88/60. What should be the initial nursing action?
1. Administer oxygen at 5 L.
2. Notify the physician or nurse-midwife.
3. Increase the intravenous drip rate.
4. Position the patient to a lateral (side-lying) position.
4. Position the patient to a lateral (side-lying) position.
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A patient who experienced blunt trauma to the upper left abdomen is complaining of severe pain over the area. The patient is tachycardic with a dropping blood pressure
During abdominal assessment, the nurse finds a growing mass in the left hypochondria. What is the most appropriate nursing action? A) Reassess vital signs B) Notify physician of finding C) Draw blood for laboratory assessment D) Obtain an order for a radiograph of the abdomen
A client with cirrhosis is on the transplant list and is now admitted for end-stage liver failure. The spouse breaks down crying, stating "I just can't cope any more
I already have to do every thing at home and for the kids, now if he/she dies, I just don't know what I will do!" The best response by the nurse is a. "I see you are upset. I will come back in 10 minutes and we can talk." b. "I'm sure they will find a donor before it is too late." c. "We do a lot of transplants here and our outcomes are very good." d. "What has helped you handle all the family responsibilities so far?"
When reviewing the history and physical records of a patient who has alopecia, the nurse should recognize which conditions as a possible cause? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Select all that apply. 1. A thyroid disorder 2. Solar lentigo 3. Three months of chemotherapy for cancer 4. Cushing's syndrome 5. Hypoglycemia
A recently widowed client reports a fear of intimacy due to an inability to achieve and sustain an erection. He has become isolative, has difficulty sleeping, and has recently lost weight
Which correctly written nursing diagnosis should be prioritized for this client? A. Risk for situational low self-esteem AEB inability to achieve an erection B. Sexual dysfunction R/T dysfunctional grieving AEB inability to experience orgasm C. Social isolation R/T low self-esteem AEB refusing to engage in dating activities D. Disturbed body image R/T penile flaccidity AEB client statements