Rectal or vaginal exams are contraindicated for women with third-trimester bleeding for which one of the following reasons?
A) The examination may stimulate the onset of premature labor contractions.
B) There is danger of rupturing the membranes.
C) The exam can lead to further hemorrhage if placenta previa is present.
D) Assessment of cervical dilatation is not essential at this time.
C
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After inserting a nasogastric tube, what would be the nurse's priority action prior to starting the first tube feeding?
a. Auscultate bowel sounds over the abdomen. b. Aspirate gastric contents and obtain a pH reading. c. Obtain radiographic verification (x-ray). d. Mix the feeding with water for the first feeding only.
A child has cancer and has been treated with chemotherapy. The most recent lab value indicates that the white blood cell count is very low. Based on this result, which would the nurse expect to administer?
1. Epoetin alfa (Epogen) 2. Ondansetron (Zofran) 3. Oprelvekin (Neumega) 4. Filgrastim (Neupogen)
A nurse is caring for an HIV-positive child diagnosed with Pneumocystis jiroveci pneumonia who is receiving trimethoprim-sulfamethoxazole. Which finding indicates a possible complication of using this drug?
A. Hemorrhagic blisters B. Polyuria C. Severe headache D. Seizures
A child is mechanically ventilated. Which assessment finding indicates that a priority goal is being met?
A. Enteral feeding tube present B. PaCO2: 40 mm Hg C. Intact skin integrity D. Ventilator on control mode