When using a fetal scalp electrode (FSE), you notice an abnormally low FHR on the monitor. You should first
A. Compare maternal pulse simultaneously with FHR
B. Remove FSE
C. Call the doctor immediately
D. Turn off the monitor
Answer: A. Compare maternal pulse simultaneously with FHR
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Prior to intervening with an adolescent projecting anger on the nurse, the nurse should:
1. Encourage the adolescent to engage in reflection. 2. Engage in introspection to examine how he/she reacts to others when they are angry. 3. Organize the rapid response team due to the aggressive action. 4. Enlist an adolescent peer to intervene with the adolescent.
A client in the intensive care unit is combative and pulling at the endotracheal tube, which must remain in place
After applying soft hand restraints to protect the client's airway, which action should the nurse take next? A) Notify the primary healthcare provider. B) Notify the family of the need for restraints. C) Reassess the need for the restraints in 8 hours. D) Document the application of restraints in the chart.
A client who has recently been diagnosed with an oral cancer questions how he contracted the disease. He states, "I don't even smoke." Which of the following responses by the nurse is most appropriate?
A) "It is highly unusual for a nonsmoker to be affected by oral cancer." B) "Studies show sun exposure may play a role in the development of oral cancers." C) "Your history of periodontal disease is a significant risk factor." D) "Dietary intake high in fat has been linked to oral cancer."
Which muscle would the nurse select to give a 6-month-old infant an intramuscular injection?
a. Deltoid b. Ventrogluteal c. Dorsogluteal d. Vastus lateralis