The nurse suspects that a pregnant client is experiencing true labor. What did the nurse assess to make this clinical determination? Select all that apply
1. Contractions increase in intensity.
2. Discomfort occurs in the abdomen.
3. Contractions occur at regular intervals.
4. Walking has no effect on the contractions.
5. Time between contractions gradually becomes shorter.
1, 3, 5
Explanation:
1. In true labor contractions will increase in intensity.
2. In false labor the contractions occur in the abdomen.
3. In true labor the contractions occur at regular intervals.
4. In false labor walking has no effect on the contractions.
5. In true labor the time between contractions gradually becomes shorter.
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He nurse is testing the function of CN XI. Which statement best describes the response the nurse should expect if this nerve is intact? The patient:
a. Demonstrates the ability to hear normal conversation. b. Sticks out the tongue midline without tremors or deviation. c. Follows an object with his or her eyes without nystagmus or strabismus. d. Moves the head and shoulders against resistance with equal strength.
The brain autoregulates intracranial pressure by altering the volume of
A) cerebral blood flow. B) cerebrospinal fluid. C) brain tissue volume. D) All of the above are correct.
The patient has developed thick eschar over an electrical burn wound. Which of the following topical antibacterial agents will the nurse expect the physician to order for the wound?
A) Silver sulfadiazine 1% (Silvadene) water-soluble cream B) Mafenide acetate 10% (Sulfamylon) hydrophilic-based cream C) Silver nitrate 0.5% aqueous solution D) Acticoat
Cultural stereotypes do not describe each client but provide a broad pattern of beliefs and behaviors for clients from a particular cultural group
Indicate whether the statement is true or false