The physicians/CNM opts to use a vacuum extractor for a delivery. What does the nurse understand?
1. There is little risk with vacuum extraction devices.
2. There should be further fetal descent with the first two "pop-offs."
3. Traction is applied between contractions.
4. The woman often feels increased discomfort during the procedure.
2
Explanation: 2. If more than three "pop-offs" occur (the suction cup pops off the fetal head), the procedure should be discontinued.
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The nurse is to ambulate a patient who has an IV in his arm, an indwelling urinary catheter, and a chest tube. What action is appropriate for the nurse to take?
a. Hold the IV so it is higher than the patient's heart while ambulating. b. Empty the urinary drainage tube before am-bulating. c. Empty the closed chest drainage system before ambulating. d. Hold the closed chest drainage system above the patient's chest level while ambulating.
When caring for a client with a uric acid level of 40 mg/100 mL, the nurse should:
a. handle the client gently to avoid bleeding. b. encourage oral fluids and maintain IV fluids. c. do nothing special as this is within defined limits. d. encourage a bland, high-caloric liquid diet.
A patient is seen in the office complaining of severe flank pain. The clinician should assess this patient for which risk factors for kidney stones?
a. Hypertension c. Tubal ligation b. Constipation d. Diabetes
A patient who practices Islam has just died on the unit. The nurse is prepared to provide after death care to the patient and anticipates the probable preferences of a family from this cultural background will include:
A) pastoral care B) preparation for organ donation C) time for the family to bathe the patient D) preparation for quick removal out of the hospital