During the fourth stage of labor, your client's assessment includes a BP of 110/60, pulse 90, and the fundus is firm midline and halfway between the symphysis pubis and the umbilicus. The priority action of the nurse should be to:
A. Turn the client onto her left side.
B. Place the bed in Trendelenburg position.
C. Massage the fundus.
D. Continue to monitor.
D
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Perceptions, thoughts, feelings, and actions are the basis for
1. imagery. 2. behavior. 3. courtesy. 4. aggression.
Which of the following are never events (select all that apply)?
a. A minor medication error b. A foreign object left in the body during surgery c. Surgery on the wrong body part d. A mismatched blood transfusion e. Hip fracture acquired in the hospital f. Pressure ulcer acquired in the home g. Catheter-associated urinary tract infection h. Surgical site infection
The nurse is caring for a client who asks the nurse to explain a concept about the client's disease process that the nurse does not know the answer to. The best response by the nurse is:
1. "I do not know.". 2. "I do not know, but I will find out.". 3. "Why do you need to know that?" 4. "You'll have to ask the doctor that question.".
The nurse is preparing to assist a client to a lateral position to position a bedpan. What action should the nurse take first?
1. Perform hand hygiene. 2. Move the client to the side of the bed. 3. Place the client's arm over the chest. 4. Raise the opposite side rail.