The nurse is presenting a class to pregnant patients. The nurse asks, "The fetal brain is developing rapidly, and the nervous system is complete enough to provide some regulation of body function on its own, at which fetal development stage?" It
is clear that education has been effective when a participant responds: 1. "The 17th–20th week."
2. "The 25th–28th week."
3. "The 29th–32nd week."
4. "The 33rd–36th week."
2
Rationale 1: The nervous system function is not developed between the 17th and 20th weeks of gestation.
Rationale 2: Nervous system function that is complex enough to provide body function regulation occurs around the 25th–28th week, which is when a fetus has a good chance of survival if born.
Rationale 3: The complexity of the nervous system develops long before the 29th–32nd week.
Rationale 4: The complexity of the nervous system develops long before the 33rd–36th week.
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The nurse is caring for a patient with advanced COPD who reports feeling short of breath. The nurse notes that the patient's lung sounds are diminished bilaterally and the patient's pulse oximetry is 91% on 2 L/min oxygen via nasal cannula
What actions will the nurse take to make the patient more comfortable? (Select all that apply.) a. Increase the patient's oxygen to 4 L/min via nasal cannula. b. Suction the patient's airway using sterile technique. c. Maintain eye contact and provide calm reassurance. d. Turn the patient onto the side for postural drainage. e. Administer the ordered nebulized bronchodilator. f. Elevate the head of the patient's bed to fully upright.
An IV of Cardizem 125 mg/125 mL D5W is infusing at 12 mL/hr. What dose is the client receiving? _______________
a. 24 mg/hr b. 12 mg/hr c. 0.2 mg/hr d. 120 mg/hr
The nurse is assessing the eye changes in an older adult. Which changes lead the nurse to consult with the health care provider? (Select all that apply.)
a. Increasing difficulty perceiving greens, blues, and violets b. Increasing redness in the eyes c. Acute pain in the eyes d. Sudden change in acuity e. Need for additional lighting for reading f. Need to hold newspaper farther away to read
The patient is declared dead
A) if the patient stops breathing for more than 2 minutes. B) if the patient has no pulse. C) if the nurse calls a code. D) by the physician only when all efforts fail to keep the patient alive.