The nurse is scheduling a client for an external cephalic version (ECV). Which finding in the client's chart requires immediate intervention?
1. Previous birth by cesarean
2. Frank breech ballotable
3. 37 weeks, complete breech
4. Failed ECV last week
1
Explanation: 1. Any previous uterine scar is a contraindication to ECV. Prior scarring of the uterus may increase the risk of uterine tearing or uterine rupture.
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A child is admitted to the hospital with the diagnosis of laryngotracheobronchitis (LTB). The nurse should be prepared to perform which intervention?
1. Administer antibiotics and assist with possible intubation. 2. Obtain a sputum specimen. 3. Swab the throat for a throat culture. 4. Administer nebulized epinephrine and oral or IM dexamethasone.
When providing hand and foot care, the person best prepared to provide nail care for patients with extremely hard nails is the:
a. physician. b. RN. c. CNA. d. podiatrist.
The client has experienced a lower motor neuron injury and as a result has a flaccid bowel elimination pattern with infrequent passage of hard, dry stool. What intervention would be most helpful in relieving this client's constipation?
A. Pouring warm water over the perineum B. Tapping the abdomen from left to right C. Daily tap water enemas D. Manual disimpaction
Which changes should the school nurse implement to decrease the risk for the development of type 2 diabetes mellitus for a population who is identified as being at risk? Select all that apply
1. Increase the amount of daily physical activity. 2. Meet with all parents and explain the risk that is associated with obesity. 3. Test each child's urine monthly. 4. Teach the parents to avoid administering aspirin to their children. 5. Work with the cafeteria to decrease the amount of fat in the foods served.