Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%, and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines that this client is in:
A) Latent phase of the first stage
B) Active phase of the first stage
C) Transition phase of the first stage
D) Perineal phase of the second stage
A
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A candidate who is taking the NCLEX-RN® exam received only 75 questions before the test was stopped
She called her professor and stated, "I passed. I had to answer only 75 questions." The professor correctly responds by saying: a. "You are now officially licensed; you answered the more difficult questions correctly." b. "It is possible to receive only 75 questions and not be successful; however, we will keep a positive attitude." c. "If you were given only 75 questions, you will have to retest because this is not enough to determine competency." d. "You must have been extremely close to the passing standard because the computer shut off."
The nurse is caring for a thin, elderly client who was diagnosed with cancer and is receiving aggressive chemotherapy. The client is experiencing acute side effects and has lost 10 pounds in the past week
The nurse teaches the client to: (Select all that apply) 1. Drink liquid supplements to increase intake of nutrients. 2. Eat more warm foods and avoid cold foods. 3. Keep a food diary and record intake. 4. Eat small frequent meals high in calories. 5. Purchase fast foods and prepared foods.
The nurse is monitoring the client's ability to tolerate the tube feeding through a new g-tube. The client's gastric residual is currently 315 milliliters
Which of the following nursing interventions should be performed at this time? (Select all that apply.) 1. Increase the head-of-bed to a 45-degree angle 2. Change tube feeding setup 3. Hold tube feeding formula 4. Add blue food dye to formula 5. Consider bolus tube feeding
An older patient is receiving standard multidrug therapy for tuberculosis (TB). The nurse should notify the health care provider if the patient exhibits which finding?
a. Yellow-tinged skin b. Orange-colored sputum c. Thickening of the fingernails d. Difficulty hearing high-pitched voices