A client at term is admitted to the labor area. After doing Leopold's maneuvers, the nurse realizes that the baby is in breech position. The nurse applies an external fetal monitor and will most likely find the fetal heart tones
a. directly over the client's umbilicus
b. in the left quadrants of the abdomen
c. in the upper quadrants of the abdomen
d. on the side of the mother's abdomen
C
The FHR would be expected to be heard in the right or left upper quadrant.
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A major change has occurred in the governance of the hospital. How can the nurse manager help staff cope with this change? Note: Credit will be given only if all correct choices and no incorrect choices are selected
Standard Text: Select all that apply. 1. Disperse information about the change as quickly as possible. 2. Discourage any negative discussion about the change. 3. Remind staff that change is part of the health care environment. 4. Talk about the change in positive terms. 5. Withdraw slightly from those who oppose the change.
Which of the following instructions should a nurse provide a client with cardiomyopathy to avoid pulmonary complications that may compromise cardiopulmonary function?
A) Stay within the level of exercise tolerance. B) Receive the pneumonia vaccine and yearly influenza vaccinations. C) Eat a diet high in sodium. D) Keep appointments for medical follow-up.
A patient recovering from surgery reports a pain level of 6 on a 0–10 pain scale but refuses additional pain medication since he does not want to "become addicted." The nurse's response should focus on which concept?
1. Physical dependence on pain medication is uncommon during the short-term postoperative use. 2. This patient already might have an addiction problem. 3. This patient might benefit from a placebo dose. 4. The physician should be notified to discuss pain management.
A newborn baby displays jaundice 20 hours after birth. What action by the healthcare professional is most appropriate?
a. Draw blood to measure total bilirubin. b. Teach the patient about phototherapy. c. Obtain consent for blood transfusions. d. Prepare to administer vitamin K