During a VBAC the cardinal sign of uterine rupture is:
a. sensation of sudden tearing uterine pain.
b. acute fetal distress.
c. cessation of uterine contractions.
d. maternal shock and haemorrhage.
ANS: B
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The nurse can expect to note several changes in the skin of the older adult. Which of the following are particularly important to assess as potential effects of these changes:(Select all that apply) Standard Text: Select all that apply
1. Body temperature 2. Lentigo senilis 3. Hydration 4. Ridges in nails 5. Hair changes
When teaching the client and family about the disease myasthenia gravis, the nurse should include what information?
1. Methods to increase fluid intake 2. Signs and symptoms of cholinergic crisis 3. Strategies to improve memory 4. Signs and symptoms of fluid volume excess
Before entering the room of a patient who is angry and yelling, the nurse removes her stethoscope from around her neck. The best rationale for doing so is that the stethoscope:
a. Could be used by the patient to hurt her b. Might cause the patient not to trust her c. Would distract her from focusing on the patient d. Will function as another stressor for the patient
Which technique alteration should the nurse make when initiating a venous access device in an older adult with large, tortuous veins?
A. Keep the extremity above the level of the heart. B. Use extra tape to keep the veins from rolling. C. Start the IV in the nondominant hand. D. Avoid the use of a tourniquet.