What actions would you take to help identify her underlying problem before calling the
health care provider?
What will be an ideal response?
Actions to rule out preterm labor:
• Determine fundal height.
• Perform Leopold's maneuvers for fetal position.
• Perform digital cervical examination to determine dilation, effacement, and station of presenting part.
• Monitor fetal heart tones and contraction pattern with external monitors.
Actions to rule out UTI:
• Obtain a clean-catch urine specimen and send for a urinalysis and culture and sensitivity testing.
Be sure to obtain the specimen before connecting the patient to the electronic uterine monitor.
• Take vital signs.
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A mechanically ventilated 2-year-old child has copious oral secretions. What action by the nurse takes priority?
A. Assess placement of the endotracheal tube. B. Clean and dry the skin around the mouth. C. Raise the head of the child's bed to 60 °. D. Suction the oral cavity every 2 hours.
Because moving or ambulation may be painful for the patient, to assist the patient with moving, the nurse should:
a. be supportive. b. apply heat before moving them. c. administer medication before ambulation. d. obtain assistance if the patient is heavy.
A patient who has AIDS is at risk to contract aspergillosis. The nurse will anticipate that which antifungal medication will be ordered prophylactically for this patient?
a. Metronidazole (Flagyl) b. Micafungin (Mycamine) c. Posaconazole (Noxafil) d. Voriconazole (Vfend)
A person received an invitation to be in the wedding of a friend who lives across the country. The individual is afraid of flying. What type of therapy should the nurse recommend?
a. Psychoanalysis b. Milieu therapy c. Systematic desensitization d. Short-term dynamic therapy