The perinatal nurse determines by vaginal examination that Carol is fully dilated and the fetal presenting part is descending rapidly with Carol's pushing efforts. The most appropriate nursing intervention at this time would be to:
A) Assist Carol with breathing to slow down her pushing
B) Leave the room to call the physician to come for the birth
C) Provide information to Carol's partner about her stage of labor
D) Document Carol's progress and coping abilities in labor
A
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An ophthalmic examination reveals papilledema. The nurse is aware that this finding indicates:
a. Retinal detachment. b. Diabetic retinopathy. c. Acute-angle glaucoma. d. Increased intracranial pressure.
A community mental health nurse has been working for 6 months to establish a trusting relationship
with a delusional and suspicious client. The client recently lost his job, stopped taking medication because he had no money, and then decompensated. The client states "only a traitor would make me go to the hospital.". The nurse must decide whether to arrange for hospitalization or try to provide medication so he can remain at home. The solution most in keeping with current practices in health care calls for a. hospitalization for up to a week. b. negotiating a way to provide medication. c. hospitalization until he is asymptomatic. d. arranging for a bed in a homeless shelter.
An older patient is diagnosed with bacteremia and asks what caused the condition. What should be included in the nurse's response? Select all that apply.
1. "The virus that causes chickenpox and shingles also causes bacteremia." 2. "An infected wound can introduce bacteria into the bloodstream causing bacteremia." 3. "Older patients are at risk of bacteremia caused by antibiotic use and superinfections." 4. "Bacteremia can be caused by bacteria from a urinary tract infection entering the bloodstream." 5. "Bacteremia, caused by bacteria entering the bloodstream, can be a complication of pneumonia."
Which actions would the nurse categorize as traditional mental HEALTH maintenance?
1. Activities to concentrate and stimulate the mind 2. Avoiding physically demanding hobbies 3. Using medications to preserve chemical balance in the brain 4. Wearing head covering in the cold to preserve head warmth