A client in the first stage of labor has an episode of bright red bleeding. What is the best
action for the nurse to take?
A) Perform a vaginal examination per protocol
B) Report any bleeding at once
C) Perform an ultrasound examination as ordered
D) Inject Vitamin K as ordered to stop bleeding
B
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Which of the following nursing interventions is not consistent with the philosophy of psychiatric rehabilitation?
1. Performing a functional assessment of the client 2. Discharging a client from services when treatment goals are reached 3. Planning behavioral interventions that target specific functional deficits 4. Identifying highly individualized goals with the client
As a result of seizure activity, a computed tomography (CT) scan was performed and showed that an 18-month-old child has intracranial arteriovenous malformation
When developing the child's plan of care, the nurse would expect to implement actions to prevent which of the following? A) Drug interactions B) Developmental disabilities C) Hemorrhagic stroke D) Respiratory paralysis
The nurse is conducting a free screening for tuberculosis in a large neighborhood clinic. The nurse expects a large showing of clients to take advantage of this free offer
Which of the following tests would be the most practical for testing a large group of people? A) Tine test B) Purified protein derivative TB test C) Mantoux TB test D) Sputum culture
The nurse would evaluate a patient with an ostomy as understanding how to protect the skin if the patient cuts the skin barrier to which of the following measurements?
a. Tight to the base of the stoma b. 1/16 to 1/8 inch from the stoma c. 1/4 to 1/3 inch from the stoma d. 1/3 to 1/2 inch from the stoma